Individual
LEONARD E. MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
122 W 7TH AVE, STE 110, SPOKANE, WA 99204-2349
(509) 456-0262
(509) 462-5059
Mailing address
122 W 7TH AVE, STE 110, SPOKANE, WA 99204-2349
(509) 456-0262
(509) 462-5059
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA-469
ID
363AS0400X
Surgical Physician Assistant
Primary
PA10000542
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003237300
—
ID
01
—
16654731
MEDICARE PTAN
ID
05
—
8374795
—
WA
01
—
G8871063
MEDICARE PTAN
WA
01
—
G8878131
MEDICARE PTAN
WA
Enumeration date
07/19/2005
Last updated
12/19/2011
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