Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | D53842 | MD |
NPI | 1073514675 |
---|---|
Provider Name | Michael R Morris |
First Address | Frederick, MD 21702-4895 |
Second Address | Frederick, MD 21702-4895 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 09/05/2008 |