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Individual

KEITH LAYNE MURDOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
40884
MT
213EP1101X
Primary Podiatric Medicine Podiatrist
POD.0000763
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
POD.0000763
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01776223
CO
Enumeration date
04/12/2012
Last updated
07/21/2022
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