Healthcare Provider Details

I. General information

NPI: 1649295569
Provider Name (Legal Business Name): WAYNE J MORGAN M.D., DCS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 05/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 N WILMOT RD SUITE #101
TUCSON AZ
85711
US

IV. Provider business mailing address

2701 E ELVIRA RD
TUCSON AZ
85756-7214
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-9988
  • Fax: 520-694-9917
Mailing address:
  • Phone: 520-626-7780
  • Fax: 520-626-9465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number13331
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: