Individual
DR. DOUGLAS C MURDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 WEST RIVERPARK DR, SUITE 120, PROVO, UT 84604
(801) 229-2011
(801) 224-0242
Mailing address
280 WEST RIVERPARK DR, SUITE 120, PROVO, UT 84604
(801) 229-2011
(801) 224-0242
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1959571205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000057844
MEDICARE
UT
01
—
930056412
RAILROAD MEDICARE
UT
05
—
D2192
—
UT
Enumeration date
07/12/2005
Last updated
07/06/2010
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