Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | MD 60037544 | WA |
NPI | 1164632170 |
---|---|
Provider Name | Mitzi L Murray |
First Address | Anacortes, WA 98221-4515 |
Second Address | Anacortes, WA 98221-4515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 09/01/2022 |