Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0106X | Oral and Maxillofacial Pathology | 401006550 | VA |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 401006550 | VA |
NPI | 1992730808 |
---|---|
Provider Name | Dr. Sanford Neil Morrison |
First Address | Virginia Beach, VA 23464-5571 |
Second Address | Virginia Beach, VA 23464-5571 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 17/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008011702 | (05) | VA |