MEDICARE: MR. MYRON E. MORSE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	19857	NE

General Provider Information

NPI Number	:	1144211293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MYRON E. MORSE M.D.

Provider Business Mailing Address
First Line	:	4508 38 STREET
Second Line	:	SUITE 250
City	:	COLUMBUS
State	:	NE
Zip	:	68601-1668
Country	:	US
Telephone Number	:	402-564-5333
Fax Number	:	402-564-3814

Provider Business Practice Location Address
First Line	:	4508 38 STREET
Second Line	:	SUITE 250
City	:	COLUMBUS
State	:	NE
Zip	:	68601-1668
Country	:	US
Telephone Number	:	402-564-5333
Fax Number	:	402-564-3814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	02/24/2015

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