Healthcare Provider Details

I. General information

NPI: 1548316342
Provider Name (Legal Business Name): SCOTT A MORROW MD MPH MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 37TH AVE
SAN MATEO CA
94403-4324
US

IV. Provider business mailing address

225 37TH AVE
SAN MATEO CA
94403-4324
US

V. Phone/Fax

Practice location:
  • Phone: 650-573-2519
  • Fax:
Mailing address:
  • Phone: 650-573-2519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG60578
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG060578
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberG060578
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberG060578
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: