Basic Information
Provider Information
NPI: 1083848956
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRISON
FirstName: JOSHUA
MiddleName: BARTON
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 CARSON ST
Address2:  
City: JONESBORO
State: AR
PostalCode: 724013104
CountryCode: US
TelephoneNumber: 8709321198
FaxNumber:  
Practice Location
Address1: 300 CARSON ST
Address2:  
City: JONESBORO
State: AR
PostalCode: 724013104
CountryCode: US
TelephoneNumber: 8709321198
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/07/2009
LastUpdateDate: 07/20/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RP1001XE-9204ARY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200XE-9204ARN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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