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NPI Code Detail

MEDICARE: MATT MORGAN MD

MEDICARE: MATT 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
1207K00000XAllergy & Immunology Physician18568NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
118568OTHERNVSTATE LICENCE
2L5474OTHERTXSTATE LICENCE

General Provider Information

NPI Number : 1962403154
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATT MORGAN MD
Provider Business Mailing Address
First Line : 7945 W SAHARA AVE STE 108
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-7908
Country : US
Telephone Number : 702-935-2000
Fax Number : 877-219-5342
Provider Business Practice Location Address
First Line : 7945 W SAHARA AVE STE 108
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-7908
Country : US
Telephone Number : 702-935-2000
Fax Number : 877-219-5342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 10/30/2019

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Directions to “ MATT MORGAN MD” Practice Location

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