Healthcare Provider Details
I. General information
NPI: 1831391622
Provider Name (Legal Business Name): R F MORGAN MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2007
Last Update Date: 01/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2900 LEMAY FERRY RD SUITE 100
SAINT LOUIS MO
63125-3900
US
IV. Provider business mailing address
2900 LEMAY FERRY RD SUITE 100
SAINT LOUIS MO
63125-3900
US
V. Phone/Fax
- Phone: 314-892-3500
- Fax: 314-892-2523
- Phone: 314-892-3500
- Fax: 314-892-2523
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MD36198 |
| License Number State | MO |
VIII. Authorized Official
Name: DR.
ROBERT
FRANCIS
MORGAN
Title or Position: DOCTOR
Credential: M.D.
Phone: 314-892-3500