MEDICARE: ALAN H MORRIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	1549081205	UT

General Provider Information

NPI Number	:	1063433878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN H MORRIS MD

Provider Business Mailing Address
First Line	:	1978 E QUAIL ESTATES WAY
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84106-4080
Country	:	US
Telephone Number	:	801-718-1283
Fax Number	:

Provider Business Practice Location Address
First Line	:	5121 S COTTONWOOD ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-5701
Country	:	US
Telephone Number	:	801-507-4603
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	09/08/2021

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