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NPI Code Detail

MEDICARE: MR. GLENN SCOTT MORRISON PA-C

MEDICARE:  MR. GLENN SCOTT MORRISON  PA-C
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
1363AS0400XSurgical Physician AssistantPA13631CA

Other Identifiers

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

General Provider Information

NPI Number : 1194800664
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GLENN SCOTT MORRISON PA-C
Provider Business Mailing Address
First Line : 2323 DE LA VINA ST
Second Line : SUITE 201
City : SANTA BARBARA
State : CA
Zip : 93105-3877
Country : US
Telephone Number : 805-682-2267
Fax Number : 805-687-3527
Provider Business Practice Location Address
First Line : 2323 DE LA VINA ST
Second Line : SUITE 201
City : SANTA BARBARA
State : CA
Zip : 93105-3877
Country : US
Telephone Number : 805-682-2267
Fax Number : 805-687-3527
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/08/2007

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Directions to “ MR. GLENN SCOTT MORRISON PA-C” Practice Location

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