Healthcare Provider Details

I. General information

NPI: 1184850851
Provider Name (Legal Business Name): IAN MURDOCK WARRINGTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2009
Last Update Date: 12/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5255 LOUGHBORO RD NW
WASHINGTON DC
20016-2633
US

IV. Provider business mailing address

1750 16TH ST NW APARTMENT #12
WASHINGTON DC
20009-3147
US

V. Phone/Fax

Practice location:
  • Phone: 202-537-4080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD041159
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101253678
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: