Healthcare Provider Details

I. General information

NPI: 1346234945
Provider Name (Legal Business Name): ADAM SCOTT MORGAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S MOUNT AUBURN RD STE 420
CAPE GIRARDEAU MO
63703-4911
US

IV. Provider business mailing address

PO BOX 801143
KANSAS CITY MO
64180-1143
US

V. Phone/Fax

Practice location:
  • Phone: 573-335-4448
  • Fax: 573-335-4466
Mailing address:
  • Phone: 573-331-5583
  • Fax: 573-331-5079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number2001021769
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: