Individual
MURRAY S. WILLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2605 JACKSON AVE, POINT PLEASANT, WV 25550-1615
(304) 675-4498
(304) 675-8182
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(304) 675-4498
(304) 675-2103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15281
WV
207Q00000X
Family Medicine Physician
35-03-1929
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007060
ANTHEM BCBS
—
01
—
000000181972
UNISON MEDICAID
OH
01
—
001714088
MOUNTAIN STATE BCBS
—
05
—
0049170000
—
WV
01
—
0209876
MOLINA MEDICAID
OH
01
—
080040491
RR MEDICARE
—
01
—
310917085127
CARESOURCE MEDICAID
OH
Enumeration date
06/17/2006
Last updated
02/09/2015
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