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NPI Code Detail

MEDICARE: GLENN S MORRISON

MEDICARE:   GLENN S MORRISON
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
12084P0800XPsychiatry PhysicianWA00001311WA

General Provider Information

NPI Number : 1669447827
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENN S MORRISON
Provider Business Mailing Address
First Line : 9601 STEILACOOM BLVD SW
Second Line :
City : TACOMA
State : WA
Zip : 98498-7213
Country : US
Telephone Number : 253-582-8900
Fax Number : 253-756-2879
Provider Business Practice Location Address
First Line : 9601 STEILACOOM BLVD SW
Second Line :
City : TACOMA
State : WA
Zip : 98498-7213
Country : US
Telephone Number : 253-582-8900
Fax Number : 253-756-2879
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 04/30/2008

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Directions to “ GLENN S MORRISON ” Practice Location

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