Healthcare Provider Details

I. General information

NPI: 1245301548
Provider Name (Legal Business Name): ROBERT BUEHLER MORRIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TRANCAS ST
NAPA CA
94558-2906
US

IV. Provider business mailing address

PO BOX 3836
NAPA CA
94558-0383
US

V. Phone/Fax

Practice location:
  • Phone: 707-252-4411
  • Fax:
Mailing address:
  • Phone: 707-255-7676
  • Fax: 707-255-7666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG328420
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: