Provider Demographics
NPI:1619055886
Name:MURRAY, STEVEN D (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:D
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 WENGER RD N
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44618-9056
Mailing Address - Country:US
Mailing Address - Phone:330-828-2223
Mailing Address - Fax:330-828-0094
Practice Address - Street 1:129 WENGER RD N
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:OH
Practice Address - Zip Code:44618-9056
Practice Address - Country:US
Practice Address - Phone:330-828-2223
Practice Address - Fax:330-828-0094
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35070741M207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1710065115OtherGROUP NPI NUMBER
OH2015063Medicaid
OH1093893497OtherGROUP NPI NUMBER
OH1497834766OtherGROUP NPI NUMBER
OH1093893497OtherGROUP NPI NUMBER