Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 35042573 | OH |
NPI | 1083789192 |
---|---|
Provider Name | Dr. Ray Daniel Morris II |
First Address | Ravenna, OH 44266-3929 |
Second Address | Ravenna, OH 44266-3929 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0518916 | (05) | OH |
B95484 | (02) | OH |