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Individual

BRENT JOHN MURDOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER, PROVO, UT 84604
(801) 507-5248
(801) 733-5618
Mailing address
3300 N TRIUMPH BLVD STE G50, LEHI, UT 84043-6480
(801) 990-1911
(801) 990-1912

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
21274
ND
207L00000X
Anesthesiology Physician
333124-01
NY
207L00000X
Anesthesiology Physician
Primary
5537276-1204
UT
207L00000X
Anesthesiology Physician
DO222743
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100502496
NV
01
107024915101
IHC
UT
05
119193400
WY
01
1502954
UMWA
UT
01
2090168
UNITED HEALTHCARE
UT
01
55372761200001
BCBS
UT
01
77305
PEHP
UT
05
806791200
ID
01
832675
DESERET MUTUAL
UT
05
840745
AZ
01
870545614MUR
EDUCATORS MUTUAL
UT
01
93345
HEALTHY U
UT
01
QM0000075886
ALTIUS
UT
01
TPRA08913
MOLINA
UT
Enumeration date
10/02/2006
Last updated
09/24/2025
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