Organization Name: | W GREGORY MORGAN III MD PC |
NPI Number: | 1619099926 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM GREGORY MORGAN (OWNER DOCTOR) |
Mailing Address: | 1705 Renaissance Blvd Suite 100 Edmond |
State: | OK US |
Postal Code: | 730133041 |
Phone Number: | 4057154496 |
Fax Number: | 4056828044 |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 02/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 10222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |