Wayne Bernell Murdock in Idaho Falls - General Practice
Wayne Bernell Murdock - NPI 1952317703
Wayne Bernell Murdock is a General Practice in Idaho Falls, Idaho. Wayne Bernell Murdock practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wayne Bernell Murdock is 1952317703. The last update date is 2007-07-08.
Wayne Bernell Murdock's current location address is 2205 Channing Way, Idaho Falls, Idaho. You can contact this provider via phone number 2085294484 and fax number 2085234441. The mailing address for Wayne Bernell Murdock is 2205 Channing Way, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Wayne Bernell Murdock |
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Address | 2205 Channing Way, Idaho Falls, Idaho |
Phone Number | 2085294484 |
Fax Number | 2085234441 |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1952317703 |
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Provider Enumeration Date | 2006-08-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2205 Channing Way |
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City | Idaho Falls |
State | Idaho (ID) |
Post Code | 834048016 |
Phone Number | 2085294484 |
Fax Number | 2085234441 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | D1719 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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6D915 | ID | BLUE CROSS ID |
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What is the unique 10-digit identification code issued to Wayne Bernell Murdock by the Centers for Medicare & Medicaid Services?
The Wayne Bernell Murdock has been assigned the NPI (National Provider Identifier) 1952317703 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Wayne Bernell Murdock's physical address?
The Wayne Bernell Murdock is physically located at 2205 Channing Way, in the city of Idaho Falls, ID, with the postal code 834048016.
What is Wayne Bernell Murdock's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wayne Bernell Murdock is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When was the Wayne Bernell Murdock's 1952317703 issued?
The Wayne Bernell Murdock's 1952317703 was issued on 2006-08-01.
As of what date was the information regarding Wayne Bernell Murdock, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wayne Bernell Murdock, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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