Healthcare Provider Details

I. General information

NPI: 1639365331
Provider Name (Legal Business Name): ELLEN HUNT MORROW M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 11/08/2021
Certification Date: 11/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF UTAH SOM DEPARTMENT OF SURGERY 30 NORTH MEDICAL DRIVE, 3B-110
SALT LAKE CITY UT
84132-0001
US

IV. Provider business mailing address

UNIVERSITY OF UTAH SOM DEPARTMENT OF SURGERY 30 NORTH MEDICAL DRIVE, 3B-110
SALT LAKE CITY UT
84132-0001
US

V. Phone/Fax

Practice location:
  • Phone: 801-581-2765
  • Fax:
Mailing address:
  • Phone: 801-581-2765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA100896
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: