Mr. Morgan Tius Garriott
Nurse Practitioner - Family Medicine
2325 Coronado St
Idaho Falls
, Idaho 83404-7407
Mr. Morgan Tius Garriott
Nurse Practitioner - Family Medicine
2325 Coronado St
Idaho Falls
, Idaho 83404-7407
(208) 403-2951
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mr. Morgan Tius Garriott
- 754 N Skyline Dr
- Idaho Falls, ID
- Zip : 83402-2662
- Phone : (208) 403-2951
Second Address
- Mr. Morgan Tius Garriott
- 2325 Coronado St
- Idaho Falls, ID
- Zip : 83404-7407
- Fax : (208) 542-7371
- Phone : (208) 542-7021
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FAQs
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Is Mr. Morgan Tius Garriott a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | NP-1217A | ID |
National Provider Identifier
| NPI | 1003164898 |
|---|---|
| Provider Name | Mr. Morgan Tius Garriott |
| First Address | Idaho Falls, ID 83402-2662 |
| Second Address | Idaho Falls, ID 83404-7407 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/08/2012 |
| Last Update Date | 06/08/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.