Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD60659891 | WA |
NPI | 1043519440 |
---|---|
Provider Name | Jonathan Morrill |
First Address | Spokane, WA 99202-1383 |
Second Address | Spokane, WA 99202-1383 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2011 |
Last Update Date | 05/11/2020 |