Basic Information
Provider Information
NPI: 1043226962
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRIS
FirstName: WILLIAM
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5299
Address2:  
City: TACOMA
State: WA
PostalCode: 984150299
CountryCode: US
TelephoneNumber: 2534037277
FaxNumber:  
Practice Location
Address1: MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
Address2:  
City: TACOMA
State: WA
PostalCode: 984314234
CountryCode: US
TelephoneNumber: 2539682252
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/31/2006
LastUpdateDate: 02/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000XMD00027002WAY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


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