Basic Information
Provider Information
NPI: 1073652061
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORGAN
FirstName: SARAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 915 HIGHLAND BLVD
Address2:  
City: BOZEMAN
State: MT
PostalCode: 597156902
CountryCode: US
TelephoneNumber: 4064145000
FaxNumber:  
Practice Location
Address1: UNM HOSPITAL EMERGENCY MEDICINE
Address2: 2211 LOMAS BLVD NE
City: ALBUQUERQUE
State: NM
PostalCode: 871310001
CountryCode: US
TelephoneNumber: 5052726225
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/06/2007
LastUpdateDate: 02/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X2005-0250NMN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X11788MTY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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