Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD208281 | OR |
N | 207X00000X | Orthopaedic Surgeon | MT190572 | PA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | MT190572 | PA |
NPI | 1326206335 |
---|---|
Provider Name | Dr. Martin Joseph Morrison III |
First Address | Loma Linda, CA 92354-3711 |
Second Address | Loma Linda, CA 92354-3128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 25/01/2022 |