Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 036-072059 | IL |
NPI | 1093792715 |
---|---|
Provider Name | Dr. Joseph Thomas Morris III |
First Address | Joint Base Lewis Mcchord, WA 98431-1100 |
Second Address | Tacoma, WA 98431-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 04/04/2013 |