Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 13331 | AZ |
NPI | 1649295569 |
---|---|
Provider Name | Mr. Wayne J Morgan |
First Address | Tucson, AZ 85756-7214 |
Second Address | Tucson, AZ 85711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 29/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
237869 | (05) | AZ |
D37337 | (02) |