Basic Information
Provider Information
NPI: 1164434049
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURNEY
FirstName: RICHARD
MiddleName: G
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 7609
Address2:  
City: MISSOULA
State: MT
PostalCode: 598077609
CountryCode: US
TelephoneNumber: 4067215600
FaxNumber: 4067213907
Practice Location
Address1: 2687 PALMER ST
Address2: SUITE C
City: MISSOULA
State: MT
PostalCode: 598081710
CountryCode: US
TelephoneNumber: 4063270913
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/12/2006
LastUpdateDate: 07/19/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X4959MTY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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