Doctor Name: | DR. DAVID A. MORTON |
NPI Number: | 1932419801 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C-5085 |
Business Practice Address: | 12503 Pleasant View Dr Little Rock, AR - 722122222 |
Business Phone Number: | 5012240685 |
Business Fax Number: | |
Mailing Address: | 12503 Pleasant View Dr, LITTLE ROCK |
State: | AR |
Postal Code: | 722122222 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/13/2010 |
NPI Last Update Date: | 10/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C-5085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |