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1265430979

NPI Code Detail

MEDICARE: DR. DAVID MORRIS MD

MEDICARE: DR. DAVID MORRIS MD

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	207RS0012X	Sleep Medicine (Internal Medicine) Physician	35.06239	OH
2	207R00000X	Internal Medicine Physician	35-06-0239-M	OH
3	208000000X	Pediatrics Physician	35.06239	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110123854	OTHER	OH	RAILROAD PTAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265430979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MORRIS MD

Provider Business Mailing Address
First Line	:	1912 HAYES AVE STE 1
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-4736
Country	:	US
Telephone Number	:	419-557-5541
Fax Number	:	419-557-5542

Provider Business Practice Location Address
First Line	:	1912 HAYES AVE
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-4736
Country	:	US
Telephone Number	:	419-557-7740
Fax Number	:

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/31/2020

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Directions to “ DR. DAVID MORRIS MD” Practice Location

Language	Start Address	Practice Location

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