MEDICARE: DR. GREGORY 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
1	207Q00000X	Family Medicine Physician	423688	KS

General Provider Information

NPI Number	:	1548269871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY MORGAN MD

Provider Business Mailing Address
First Line	:	5816 POPPLETON AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68106-1657
Country	:	US
Telephone Number	:	402-556-4725
Fax Number	:	308-532-6964

Provider Business Practice Location Address
First Line	:	300 E 3RD ST RM 302
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-4026
Country	:	US
Telephone Number	:	308-532-6906
Fax Number	:	308-532-6964

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	03/18/2021

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