Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101237343 | VA |
NPI | 1003874934 |
---|---|
Provider Name | Dr. Garrison Vasile Morin |
First Address | Winchester, VA 22602-4346 |
Second Address | Winchester, VA 22602-4346 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 15/07/2015 |