Doctor Name: | TIMOTHY JAMES MORGAN |
NPI Number: | 1245335256 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 16986 |
Business Practice Address: | 711 S Vine St Glenwood, IA - 515341927 |
Business Phone Number: | 7125272420 |
Business Fax Number: | 7125272371 |
Mailing Address: | 711 S Vine St, GLENWOOD |
State: | IA |
Postal Code: | 515341927 |
Phone Number: | 7125272420 |
Fax Number: | 7125272371 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16986 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |