Provider Demographics
NPI:1912071671
Name:MURRAY, SCOTT J
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:J
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 1:8820 N HIGHWAY DR
Mailing Address - Street 2:
Mailing Address - City:CIRCLE PINES
Mailing Address - State:MN
Mailing Address - Zip Code:55014-3907
Mailing Address - Country:US
Mailing Address - Phone:763-786-0670
Mailing Address - Fax:763-786-6423
Practice Address - Street 1:8820 N HIGHWAY DR
Practice Address - Street 2:
Practice Address - City:CIRCLE PINES
Practice Address - State:MN
Practice Address - Zip Code:55014-3907
Practice Address - Country:US
Practice Address - Phone:763-786-0670
Practice Address - Fax:763-786-6423
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN001497111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor