Healthcare Provider Details

I. General information

NPI: 1821087933
Provider Name (Legal Business Name): JOHN M MORRISON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 02/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 S DUNWORTH ST
VISALIA CA
93292-6702
US

IV. Provider business mailing address

316 S DUNWORTH ST
VISALIA CA
93292-6702
US

V. Phone/Fax

Practice location:
  • Phone: 559-625-0601
  • Fax: 559-625-1315
Mailing address:
  • Phone: 559-625-0601
  • Fax: 559-625-1315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberG36553
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberG36553
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License NumberG36553
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License NumberG36553
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code207ZI0100X
TaxonomyImmunopathology Physician
License NumberG36553
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code207ZN0500X
TaxonomyNeuropathology Physician
License NumberG36553
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberG36553
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberG36553
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code207ZP0213X
TaxonomyPediatric Pathology Physician
License NumberG36553
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: