MEDICARE: MORGAN CONSULTING LLC

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	207QA0505X	Adult Medicine Physician		AZ

General Provider Information

NPI Number	:	1417005075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN CONSULTING LLC

Provider Business Mailing Address
First Line	:	2704 SANDSTONE ST
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86401-7248
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4263 US HIGHWAY 68
Second Line	:	SUITE C
City	:	GOLDEN VALLEY
State	:	AZ
Zip	:	86413-8569
Country	:	US
Telephone Number	:	928-565-3939
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DONALD MORGAN
Credential	:	D.O.
Telephone Number	:	928-279-6029

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	08/22/2020

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