Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | G87327 | CA |
NPI | 1013077528 |
---|---|
Provider Name | Dr. Mitchell Morris |
First Address | Laguna Beach, CA 92651-7001 |
Second Address | Laguna Beach, CA 92651-7001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 08/07/2007 |