Healthcare Provider Details

I. General information

NPI: 1417446618
Provider Name (Legal Business Name): CHRISTOPHER MORRIS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2018
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13945 W GRAND AVE STE 101
SURPRISE AZ
85374-2437
US

IV. Provider business mailing address

13945 WEST GRAND AVENUE 101
SURPRISE AZ
85374-5631
US

V. Phone/Fax

Practice location:
  • Phone: 480-944-4298
  • Fax: 623-278-8636
Mailing address:
  • Phone: 480-944-4298
  • Fax: 623-278-8636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number008310
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number008310
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number008310
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: