Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 08382 | IA |
NPI | 1083630289 |
---|---|
Provider Name | Dr. Dominic G Morio |
First Address | Hiawatha, IA 52233 |
Second Address | Hiawatha, IA 52233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 27/11/2019 |