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NPI Code Detail

MEDICARE: KEITH LAYNE MURDOCK DPM

MEDICARE:   KEITH LAYNE MURDOCK  DPM
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
1213EP1101XPrimary Podiatric Medicine PodiatristPOD.0000763CO
2213ES0103XFoot & Ankle Surgery PodiatristPOD.0000763CO
3213EP1101XPrimary Podiatric Medicine Podiatrist40884MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326305509
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH LAYNE MURDOCK DPM
Provider Business Mailing Address
First Line : 3990 AVENUE D
Second Line :
City : BILLINGS
State : MT
Zip : 59102-7531
Country : US
Telephone Number : 406-252-5444
Fax Number : 406-245-9043
Provider Business Practice Location Address
First Line : 3990 AVENUE D
Second Line :
City : BILLINGS
State : MT
Zip : 59102-7531
Country : US
Telephone Number : 406-252-5444
Fax Number : 406-245-9043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2012
Last Update Date : 07/21/2022

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Directions to “ KEITH LAYNE MURDOCK DPM” Practice Location

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