Healthcare Provider Details

I. General information

NPI: 1306889456
Provider Name (Legal Business Name): MORRIS STEPHEN DILLARD D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HOSPITAL DR
LOGAN WV
25601-3473
US

IV. Provider business mailing address

15 SHERWOOD CIR
HURRICANE WV
25526-9265
US

V. Phone/Fax

Practice location:
  • Phone: 304-831-1101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number1102
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1102
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: