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NPI Code Detail

MEDICARE: DR. BENJAMIN BARTLETT MORRISON M. D.

MEDICARE: DR. BENJAMIN BARTLETT MORRISON 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
1207Q00000XFamily Medicine PhysicianA78162CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H84417OTHERCAMEDICARE

General Provider Information

NPI Number : 1245316645
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN BARTLETT MORRISON M. D.
Provider Business Mailing Address
First Line : PO BOX 779
Second Line :
City : STOCKTON
State : CA
Zip : 95201-0779
Country : US
Telephone Number : 209-373-2800
Fax Number : 209-373-2873
Provider Business Practice Location Address
First Line : 701 E CHANNEL ST
Second Line :
City : STOCKTON
State : CA
Zip : 95202-2628
Country : US
Telephone Number : 209-944-4700
Fax Number : 209-944-4796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 01/30/2012

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