Provider Demographics
NPI:1124357496
Name:MURRAY CHIROPRACTIC PC
Entity type:Organization
Organization Name:MURRAY CHIROPRACTIC PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:909-982-9100
Mailing Address - Street 1:2335 W FOOTHILL BLVD
Mailing Address - Street 2:SUITE 20
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3575
Mailing Address - Country:US
Mailing Address - Phone:909-982-9100
Mailing Address - Fax:909-257-3990
Practice Address - Street 1:2335 W FOOTHILL BLVD
Practice Address - Street 2:SUITE 20
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3575
Practice Address - Country:US
Practice Address - Phone:909-982-9100
Practice Address - Fax:909-257-3990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty