Healthcare Provider Details

I. General information

NPI: 1821097247
Provider Name (Legal Business Name): NORMAN EUGENE MORROW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 10/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1531 E BRADFORD PKWY SUITE 215
SPRINGFIELD MO
65804-6539
US

IV. Provider business mailing address

PO BOX 842578
KANSAS CITY MO
64184-0001
US

V. Phone/Fax

Practice location:
  • Phone: 417-882-6363
  • Fax: 417-447-2251
Mailing address:
  • Phone: 417-882-6363
  • Fax: 417-447-2251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberR9386
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: