Doctor Name: | WILLIAM EDWARD MOREHEAD |
NPI Number: | 1124188867 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | R1661 |
Business Practice Address: | 500 N Douglass St Malden, MO - 638631506 |
Business Phone Number: | 5732762221 |
Business Fax Number: | 5732765880 |
Mailing Address: | 500 N Douglass St, MALDEN |
State: | MO |
Postal Code: | 638631506 |
Phone Number: | 5732762221 |
Fax Number: | 5732765880 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | R1661 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |