Healthcare Provider Details

I. General information

NPI: 1427018522
Provider Name (Legal Business Name): DANIEL MORRIS PA C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 04/14/2023
Certification Date: 04/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4403 HARRISON BLVD STE 2400
OGDEN UT
84403
US

IV. Provider business mailing address

1301 PUNCHBOWL ST # 8D
HONOLULU HI
96813-2402
US

V. Phone/Fax

Practice location:
  • Phone: 801-387-2750
  • Fax: 801-387-2755
Mailing address:
  • Phone: 808-691-7089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA01035
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberAMD 353
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number4771398-1206
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: