Provider Demographics
NPI:1235978768
Name:MURRAY, STEVEN ANDREW
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ANDREW
Last Name:MURRAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LIBERTY LN UNIT 49
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-1977
Mailing Address - Country:US
Mailing Address - Phone:801-755-1270
Mailing Address - Fax:
Practice Address - Street 1:10 LIBERTY LN UNIT 49
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-1977
Practice Address - Country:US
Practice Address - Phone:801-755-1270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant