Basic Information
Provider Information
NPI: 1093792715
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRIS
FirstName: JOSEPH
MiddleName: THOMAS
NamePrefix: DR.
NameSuffix: III
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9040 JACKSON AVE
Address2:  
City: JOINT BASE LEWIS MCCHORD
State: WA
PostalCode: 984311100
CountryCode: US
TelephoneNumber: 2539680537
FaxNumber: 2539682729
Practice Location
Address1: MADIGAN ARMY MEDICAL CENTER
Address2: 9040 REID ST.,ATTN: MCHJ-QCR
City: TACOMA
State: WA
PostalCode: 984310001
CountryCode: US
TelephoneNumber: 2539682252
FaxNumber: 2539683278
Other Information
ProviderEnumerationDate: 12/22/2005
LastUpdateDate: 04/04/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X036-072059ILY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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