Individual
DR. JOHN MARK MCMURTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3315 BERRYWOOD DR, SUITE 201, COLUMBIA, MO 65201-6571
(573) 499-0999
(573) 442-7120
Mailing address
3315 BERRYWOOD DR, SUITE 201, COLUMBIA, MO 65201-6571
(573) 499-0999
(573) 442-7120
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD047591L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516977
—
PA
01
—
MD047591L
PA MD NUMBER
PA
Enumeration date
10/26/2006
Last updated
07/08/2007
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