Healthcare Provider Details

I. General information

NPI: 1356866511
Provider Name (Legal Business Name): JOHN TAYLOR MORRISON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 S HIGH ST
DENVER CO
80209-4552
US

IV. Provider business mailing address

1065 S HIGH ST
DENVER CO
80209-4552
US

V. Phone/Fax

Practice location:
  • Phone: 303-282-6366
  • Fax:
Mailing address:
  • Phone: 303-282-6366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number16163
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: