Healthcare Provider Details

I. General information

NPI: 1386026466
Provider Name (Legal Business Name): ELIZABETH HALE MORGAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 E BATES
SPRINGFIELD MO
65804-8425
US

IV. Provider business mailing address

1929 S SCENIC AVE
SPRINGFIELD MO
65807-2153
US

V. Phone/Fax

Practice location:
  • Phone: 417-222-3395
  • Fax:
Mailing address:
  • Phone: 479-799-5283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-11248
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number22189
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2024041690
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: