Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 35-052869 | OH |
NPI | 1073557286 |
---|---|
Provider Name | Dr. Reid M Morse |
First Address | Cleveland, OH 44111-5610 |
Second Address | Cleveland, OH 44111-5610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0816175 | (05) | OH |
E76583 | (02) | OH |
UR9354701 | GROUP PIN # (01) | OH |