| Doctor Name: | MR. MORGAN TIUS GARRIOTT |
| NPI Number: | 1003164898 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSN, APRN, CNP, FNP |
| License Number: | NP-1217A |
| Business Practice Address: | 2325 Coronado St Idaho Falls, ID - 834047407 |
| Business Phone Number: | 2085427021 |
| Business Fax Number: | 2085427371 |
| Mailing Address: | 754 N Skyline Dr, IDAHO FALLS |
| State: | ID |
| Postal Code: | 834022662 |
| Phone Number: | 2084032951 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2012 |
| NPI Last Update Date: | 08/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP-1217A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |