Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | DR.0059819 | CO |
NPI | 1003130725 |
---|---|
Provider Name | Travis J. Morrell |
First Address | Grand Junction, CO 81501-8801 |
Second Address | Grand Junction, CO 81501-8801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2010 |
Last Update Date | 18/04/2018 |