Basic Information
Provider Information
NPI: 1306987144
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURRAY
FirstName: R
MiddleName: PEPPER
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1551 RENAISSANCE TOWNE DR
Address2: STE. 400
City: BOUNTIFUL
State: UT
PostalCode: 840107667
CountryCode: US
TelephoneNumber: 8012957200
FaxNumber: 8012954930
Practice Location
Address1: 1551 RENAISSANCE TOWNE DR
Address2: STE. 400
City: BOUNTIFUL
State: UT
PostalCode: 840107667
CountryCode: US
TelephoneNumber: 8012957200
FaxNumber: 8012954930
Other Information
ProviderEnumerationDate: 02/12/2007
LastUpdateDate: 10/14/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X91184820-1205UTY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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