MEDICARE: JOHN D MORGAN PA-C

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	363A00000X	Physician Assistant	PA908	NV

General Provider Information

NPI Number	:	1659451102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN D MORGAN PA-C

Provider Business Mailing Address
First Line	:	2950 S RAINBOW BLVD
Second Line	:	SUITE 240
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6244
Country	:	US
Telephone Number	:	702-876-5400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2950 S RAINBOW BLVD
Second Line	:	SUITE 240
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6244
Country	:	US
Telephone Number	:	702-876-5400
Fax Number	:

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	02/06/2008

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