MEDICARE: DR. GEORGE THOMAS MORTON III 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	16787	CO

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	:	1285672899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE THOMAS MORTON III MD

Provider Business Mailing Address
First Line	:	220 EAST AVE
Second Line	:
City	:	RIFLE
State	:	CO
Zip	:	81650-2332
Country	:	US
Telephone Number	:	970-625-5521
Fax Number	:	970-625-9339

Provider Business Practice Location Address
First Line	:	220 EAST AVE
Second Line	:
City	:	RIFLE
State	:	CO
Zip	:	81650-2332
Country	:	US
Telephone Number	:	970-625-5521
Fax Number	:	970-625-9339

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

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	10/05/2016

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