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NPI Code Detail

MEDICARE: DR. LARRY L MORRIS MD

MEDICARE: DR. LARRY L MORRIS 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
1208600000XSurgery Physician038166OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760544241
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY L MORRIS MD
Provider Business Mailing Address
First Line : 2160 EWING CRAWFIS CIR
Second Line :
City : BELLEFONTAINE
State : OH
Zip : 43311-9042
Country : US
Telephone Number : 937-599-0045
Fax Number : 937-599-5209
Provider Business Practice Location Address
First Line : 2160 EWING CRAWFIS CIR
Second Line :
City : BELLEFONTAINE
State : OH
Zip : 43311-9042
Country : US
Telephone Number : 937-599-0045
Fax Number : 937-599-5209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 04/29/2013

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