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NPI Code Detail

MEDICARE: JAMES Y. MURDOCK DC, LLC

MEDICARE: JAMES Y. MURDOCK DC, LLC
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
1111N00000XChiropractor08000970AIN

General Provider Information

NPI Number : 1548405616
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES Y. MURDOCK DC, LLC
Provider Business Mailing Address
First Line : 3460 STELLHORN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-4630
Country : US
Telephone Number : 260-485-3350
Fax Number :
Provider Business Practice Location Address
First Line : 3460 STELLHORN RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-4630
Country : US
Telephone Number : 260-485-3350
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JAMES YOUNG MURDOCK
Credential : D.C.
Telephone Number : 260-485-3350
Provider Enumeration Date : 12/03/2008
Last Update Date : 12/03/2008

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Directions to “JAMES Y. MURDOCK DC, LLC ” Practice Location

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