Provider Demographics
NPI:1912096124
Name:MURRAIN, VICTORIA E (DO)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:E
Last Name:MURRAIN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:2701 E ELVIRA RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-7124
Mailing Address - Country:US
Mailing Address - Phone:520-874-3500
Mailing Address - Fax:520-874-3425
Practice Address - Street 1:3950 S COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85714-2099
Practice Address - Country:US
Practice Address - Phone:520-874-4800
Practice Address - Fax:520-874-4801
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2012-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ2489207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ080046896OtherRAILROAD MEDICARE
AZ289969Medicaid
AZ080046896OtherRAILROAD MEDICARE
E80067Medicare UPIN