Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 32272 | KY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 2016039011 | MO |
N | 207XS0117X | Orthopaedic Spine Surgeon | 47050 | MN |
NPI | 1164410270 |
---|---|
Provider Name | Dr. Robert A Morgan |
First Address | Saint Louis, MO 63127-1839 |
Second Address | Saint Louis, MO 63127-1839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 09/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H17793 | (02) | MN |