Doctor Name: | DR. ROGER H MORSE |
NPI Number: | 1831418292 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 7950 W Jefferson Blvd Fort Wayne, IN - 468044140 |
Business Phone Number: | 2602034623 |
Business Fax Number: | 2607396167 |
Mailing Address: | 10351 Dawsons Creek Blvd, Sutie A-1 FORT WAYNE |
State: | IN |
Postal Code: | 468251904 |
Phone Number: | 2602034623 |
Fax Number: | 2607396167 |
NPI Enumeration Date: | 05/25/2010 |
NPI Last Update Date: | 02/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |