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NPI Code Detail

MEDICARE: DR. R DOUG MORROW D.O, F.A.C.E.P, P.A

MEDICARE: DR. R DOUG MORROW D.O, F.A.C.E.P, P.A
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
1207PE0005XUndersea and Hyperbaric Medicine (Emergency Medicine) PhysicianOS4602FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00316202OTHERFLRR MEDICARE
3DE7914OTHERFLRR MEDICARE GRP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1204463594OTHERFLTAX ID - COMMERICAL

General Provider Information

NPI Number : 1538118815
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. R DOUG MORROW D.O, F.A.C.E.P, P.A
Provider Business Mailing Address
First Line : PO BOX 627
Second Line :
City : SCOTTSBORO
State : AL
Zip : 35768-0627
Country : US
Telephone Number : 863-990-5136
Fax Number :
Provider Business Practice Location Address
First Line : 46 SHIELDS RD
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35811-7800
Country : US
Telephone Number : 863-990-5136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2006
Last Update Date : 01/10/2008

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