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NPI Code Detail

MEDICARE: MS. DIEP B MORRIS PA

MEDICARE: MS. DIEP B MORRIS PA
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
1363A00000XPhysician AssistantPA-10151LA

General Provider Information

NPI Number : 1619035763
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DIEP B MORRIS PA
Provider Business Mailing Address
First Line : 9118 BLUEBONNET CENTRE BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-2993
Country : US
Telephone Number : 225-368-2311
Fax Number :
Provider Business Practice Location Address
First Line : 9118 BLUEBONNET CENTRE BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-2993
Country : US
Telephone Number : 225-368-2311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 03/28/2018

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