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NPI Code Detail

MEDICARE: DR. STEPHEN MORGAN MD

MEDICARE: DR. STEPHEN MORGAN 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
1207Q00000XFamily Medicine Physician0101-041149VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2080092378OTHERVAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366426116
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN MORGAN MD
Provider Business Mailing Address
First Line : 2581 INGLEWOOD RD SW
Second Line :
City : ROANOKE
State : VA
Zip : 24015-4442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1314 PETERS CREEK RD NW
Second Line :
City : ROANOKE
State : VA
Zip : 24017-2500
Country : US
Telephone Number : 540-562-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 10/02/2017

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Directions to “ DR. STEPHEN MORGAN MD” Practice Location

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