MEDICARE: DR. RON MORLEY 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	2084P0804X	Child & Adolescent Psychiatry Physician	DR45008	CO
2	2084P0800X	Psychiatry Physician	DR45008	CO

General Provider Information

NPI Number	:	1538215140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RON MORLEY MD

Provider Business Mailing Address
First Line	:	1499 W 120TH AVE
Second Line	:	SUITE 230
City	:	DENVER
State	:	CO
Zip	:	80234-2751
Country	:	US
Telephone Number	:	303-920-5161
Fax Number	:	303-452-4625

Provider Business Practice Location Address
First Line	:	1499 W 120TH AVE
Second Line	:	SUITE 230
City	:	DENVER
State	:	CO
Zip	:	80234-2751
Country	:	US
Telephone Number	:	303-920-5161
Fax Number	:	303-452-4625

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	02/16/2011

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