Doctor Name: | DR. FREDRIC CHARLES MORGAN |
NPI Number: | 1528098860 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G60914 |
Business Practice Address: | 5776 Stoneridge Mall Rd Suite 175 Pleasanton, CA - 945882832 |
Business Phone Number: | 9256000660 |
Business Fax Number: | 9256000987 |
Mailing Address: | 5776 Stoneridge Mall Rd, Suite 175 PLEASANTON |
State: | CA |
Postal Code: | 945882832 |
Phone Number: | 9256000660 |
Fax Number: | 9256000987 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 08/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G60914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |