MEDICARE: DR. DANA DENISE MORREL 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	207R00000X	Internal Medicine Physician	18084	OK

Other Identifiers

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

General Provider Information

NPI Number	:	1417918954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANA DENISE MORREL M.D.

Provider Business Mailing Address
First Line	:	9228 S MINGO RD
Second Line	:	SUITE 103
City	:	TULSA
State	:	OK
Zip	:	74133-5718
Country	:	US
Telephone Number	:	918-392-7575
Fax Number	:	918-615-3465

Provider Business Practice Location Address
First Line	:	9228 S. MINGO
Second Line	:	SUITE 103
City	:	TULSA
State	:	OK
Zip	:	74133-5721
Country	:	US
Telephone Number	:	918-392-7575
Fax Number	:	918-615-3465

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

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	05/06/2014

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