Provider Demographics
NPI:1033378872
Name:MCMURTREY, RICHARD J (MD, MSC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:MCMURTREY
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 E 800 N STE 202
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-4257
Mailing Address - Country:US
Mailing Address - Phone:801-500-3001
Mailing Address - Fax:
Practice Address - Street 1:920 E 800 N STE 202
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-4257
Practice Address - Country:US
Practice Address - Phone:801-500-3001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0049619207T00000X, 207XX0005X, 2086S0102X, 208VP0014X
UT12162306-1205207XX0005X, 2086S0102X, 208VP0014X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine