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NPI Code Detail

MEDICARE: BRYN ERIN MORRIS

MEDICARE: BRYN ERIN MORRIS
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208200000XPlastic Surgery PhysicianR77983AZ

General Provider Information

NPI Number : 1477181774
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYN ERIN MORRIS
Provider Business Mailing Address
First Line : 228 MEFFAN AVE
Second Line :
City : NAMPA
State : ID
Zip : 83651-2754
Country : US
Telephone Number : 208-989-7892
Fax Number :
Provider Business Practice Location Address
First Line : 5881 E MAYO BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-4504
Country : US
Telephone Number : 480-342-4843
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2020
Last Update Date : 09/28/2020

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