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NPI Code Detail

MEDICARE: DR. FRED GIFFORD MCMURRY MD

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
1174400000XSpecialist7432MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17432OTHERMTMONTANA 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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Directions to “ DR. FRED GIFFORD MCMURRY MD” Practice Location

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