Healthcare Provider Details

I. General information

NPI: 1891454302
Provider Name (Legal Business Name): EMILIE C. MORRIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2021
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOODRUFF CIR NE STE 231
SALT LAKE CITY UT
84108
US

IV. Provider business mailing address

100 WOODRUFF CIR NE STE 231
SALT LAKE CITY UT
84108
US

V. Phone/Fax

Practice location:
  • Phone: 801-581-2121
  • Fax:
Mailing address:
  • Phone: 801-581-2121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number13510224-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number13510224-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: