Healthcare Provider Details

I. General information

NPI: 1427231240
Provider Name (Legal Business Name): GREGORY B MORRIS DPM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2007
Last Update Date: 04/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 LUSITANA ST SUITE 802
HONOLULU HI
96813-2429
US

IV. Provider business mailing address

1380 LUSITANA ST SUITE 608
HONOLULU HI
96813-2449
US

V. Phone/Fax

Practice location:
  • Phone: 808-532-3338
  • Fax: 808-532-3339
Mailing address:
  • Phone: 808-532-3338
  • Fax: 808-532-3339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO150
License Number StateHI

VIII. Authorized Official

Name: DR. GREGORY B MORRIS
Title or Position: OWNER
Credential: DPM
Phone: 808-532-3338