Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 1072 | CO |
NPI | 1790814150 |
---|---|
Provider Name | Dr. Larry Morries |
First Address | Centennial, CO 80122-2072 |
Second Address | Centennial, CO 80122-2072 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2007 |
Last Update Date | 14/07/2017 |