Provider Demographics
NPI:1013153972
Name:MANSON, MURRAY (MD)
Entity Type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:
Last Name:MANSON
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 1:6213 N. PASCOLA CIRCLE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-3557
Mailing Address - Country:US
Mailing Address - Phone:520-529-1830
Mailing Address - Fax:520-529-7314
Practice Address - Street 1:6213 N PASCOLA CIRCLE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-3557
Practice Address - Country:US
Practice Address - Phone:520-529-1830
Practice Address - Fax:520-529-7314
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-26
Last Update Date:2008-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14352207L00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD01586Medicaid
AZZ69164Medicare UPIN