Individual
DR. DAVID MICHAEL MURDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2829 4TH AVE STE 150, LAKE CHARLES, LA 70601-7897
(337) 480-7800
(337) 474-4552
Mailing address
PO BOX 123977 DEPT 3977, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10838R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10838R
STATE LICENSE
LA
05
—
1480851
—
LA
Enumeration date
02/16/2006
Last updated
04/28/2022
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