Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 2010-0780 | NM |
N | 2086X0206X | Surgical Oncologist | MD22058 | OR |
NPI | 1245227487 |
---|---|
Provider Name | Katherine Morris |
First Address | Albuquerque, NM 87106-4375 |
Second Address | Albuquerque, NM 87102-4517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 22/03/2017 |