MEDICARE: RONALD RICHARDSON 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	207Q00000X	Family Medicine Physician	MD00020576	WA

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

General Provider Information

NPI Number	:	1225176951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD RICHARDSON MORRIS MD

Provider Business Mailing Address
First Line	:	MADIGAN ARMY MEDICAL CTR
Second Line	:	9040 REID STREET ATTN: MCHJ-CLQ-C
City	:	TACOMA
State	:	WA
Zip	:	98431-1100
Country	:	US
Telephone Number	:	253-982-9917
Fax Number	:	253-982-2339

Provider Business Practice Location Address
First Line	:	690 BARNES ROAD
Second Line	:	MCCHORD MEDICAL CLINIC FAM MED CLINIC
City	:	JOINT BASE LEWIS MCCHORD
State	:	WA
Zip	:	98438
Country	:	US
Telephone Number	:	253-982-9917
Fax Number	:	253-982-2339

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

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	02/13/2013

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