MEDICARE: WILLIAM S. MORGAN 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
1	208000000X	Pediatrics Physician	G45668	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G456680	OTHER	CA	BLUE SHIELD OF CA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	11186999	OTHER		MULTIPLAN

General Provider Information

NPI Number	:	1972508943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM S. MORGAN MD

Provider Business Mailing Address
First Line	:	154 TRAFFIC WAY
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-3341
Country	:	US
Telephone Number	:	805-473-3262
Fax Number	:	805-473-3707

Provider Business Practice Location Address
First Line	:	154 TRAFFIC WAY
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-3341
Country	:	US
Telephone Number	:	805-473-3262
Fax Number	:	805-473-3707

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	03/24/2011

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