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NPI Code Detail

MEDICARE: MORGAN OLIVER

MEDICARE:   MORGAN  OLIVER
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
11041C0700XClinical Social Worker10927775-3501UT

General Provider Information

NPI Number : 1124629092
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN OLIVER
Provider Business Mailing Address
First Line : 1406 S 1040 E
Second Line :
City : HEBER CITY
State : UT
Zip : 84032-1696
Country : US
Telephone Number : 435-709-2844
Fax Number :
Provider Business Practice Location Address
First Line : 175 N MAIN ST STE 204
Second Line :
City : HEBER CITY
State : UT
Zip : 84032-1622
Country : US
Telephone Number : 435-709-3060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2020
Last Update Date : 03/09/2026

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Directions to “ MORGAN OLIVER ” Practice Location

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