Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD17828 | ME |
NPI | 1407909344 |
---|---|
Provider Name | Peter Frederick Morrison |
First Address | Scarborough, ME 04074-9701 |
Second Address | Scarborough, ME 04074-8926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 23/10/2012 |