MEDICARE: DR. FRED GIFFORD MCMURRY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	7432	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7432	OTHER	MT	MONTANA STATE LICENSE

General Provider Information

NPI Number	:	1992701890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRED GIFFORD MCMURRY MD

Provider Business Mailing Address
First Line	:	2027 IRIS LN
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-2339
Country	:	US
Telephone Number	:	406-254-1247
Fax Number	:	406-254-1241

Provider Business Practice Location Address
First Line	:	2027 IRIS LN
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59102-2339
Country	:	US
Telephone Number	:	406-254-1247
Fax Number	:	406-254-1241

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	03/07/2023

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