Healthcare Provider Details

I. General information

NPI: 1003830555
Provider Name (Legal Business Name): ANDREW EDWARD MORRISON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34597 N 60TH ST STE 110
SCOTTSDALE AZ
85266-5241
US

IV. Provider business mailing address

3916 STATE ST SUITE 300
SANTA BARBARA CA
93105-5602
US

V. Phone/Fax

Practice location:
  • Phone: 480-488-8020
  • Fax: 480-264-6404
Mailing address:
  • Phone: 805-563-3010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDO1644
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4284
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4284
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO1644
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: