MEDICARE: DR. ROBERT T. MORRISON M.D.

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	207RN0300X	Nephrology Physician	35.066817	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114925682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT T. MORRISON M.D.

Provider Business Mailing Address
First Line	:	30 E APPLE ST
Second Line	:	SUITE 6250
City	:	DAYTON
State	:	OH
Zip	:	45409-2939
Country	:	US
Telephone Number	:	937-208-8394
Fax Number	:	937-208-8388

Provider Business Practice Location Address
First Line	:	30 E APPLE ST
Second Line	:	STE 6250
City	:	DAYTON
State	:	OH
Zip	:	45409-2939
Country	:	US
Telephone Number	:	937-208-8394
Fax Number	:	937-208-8394

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	08/11/2014

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