Provider Demographics
NPI:1578780599
Name:MURRAY, ROBERT LEE X (DC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEE
Last Name:MURRAY
Suffix:X
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 DENALI STREET
Mailing Address - Street 2:SUITE 8
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-4000
Mailing Address - Country:US
Mailing Address - Phone:907-279-2224
Mailing Address - Fax:907-279-2216
Practice Address - Street 1:3120 DENALI STREET
Practice Address - Street 2:SUITE 8
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-4000
Practice Address - Country:US
Practice Address - Phone:907-279-2224
Practice Address - Fax:907-279-2216
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK233111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCHO233Medicaid
K0000QGFTJMedicare UPIN