Healthcare Provider Details

I. General information

NPI: 1932254869
Provider Name (Legal Business Name): DAVID W MORSE DPM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 03/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 MISSION ST SUITE 327
SAN FRANCISCO CA
94110-2468
US

IV. Provider business mailing address

2480 MISSION ST SUITE 327
SAN FRANCISCO CA
94110-2468
US

V. Phone/Fax

Practice location:
  • Phone: 415-824-3737
  • Fax: 415-824-2107
Mailing address:
  • Phone: 415-824-3737
  • Fax: 415-824-2107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE1734
License Number StateCA

VIII. Authorized Official

Name: DR. DAVID W MORSE
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 415-824-3737