Provider Demographics
NPI:1164610283
Name:MURDOCK, AMANDA DAWN (MD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:DAWN
Last Name:MURDOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1301 S COULTER ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1763
Mailing Address - Country:US
Mailing Address - Phone:806-355-6330
Mailing Address - Fax:806-351-0950
Practice Address - Street 1:1301 S COULTER ST
Practice Address - Street 2:SUITE 300
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1763
Practice Address - Country:US
Practice Address - Phone:806-355-6330
Practice Address - Fax:806-351-0950
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN6939207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology