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NPI Code Detail

MEDICARE: TODD C MURRY MD

MEDICARE: TODD C MURRY 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
1207ZD0900XDermatopathology (Pathology) Physician9792NV
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician9792NV

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 : 1770545519
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD C MURRY MD
Provider Business Mailing Address
First Line : 7455 W WASHINGTON AVE STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-4338
Country : US
Telephone Number : 702-732-3441
Fax Number : 702-938-9954
Provider Business Practice Location Address
First Line : 7455 W WASHINGTON AVE STE 301
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-4340
Country : US
Telephone Number : 877-562-5227
Fax Number : 702-938-9954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 03/17/2018

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Directions to “ TODD C MURRY MD” Practice Location

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