Healthcare Provider Details

I. General information

NPI: 1649776204
Provider Name (Legal Business Name): DILLON MORRIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 FORT MISSOULA RD STE 101
MISSOULA MT
59804-7424
US

IV. Provider business mailing address

2835 FORT MISSOULA RD STE 101
MISSOULA MT
59804-7424
US

V. Phone/Fax

Practice location:
  • Phone: 406-728-0285
  • Fax:
Mailing address:
  • Phone: 406-728-0285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMED-PHYS-LIC-139623
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: