Basic Information
Provider Information
NPI: 1245339282
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRIS
FirstName: DAVID
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 955534
Address2:  
City: SAINT LOUIS
State: MO
PostalCode: 631955534
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 101 MANNING DR
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275990001
CountryCode: US
TelephoneNumber: 9199668596
FaxNumber: 9198435515
Other Information
ProviderEnumerationDate: 09/22/2006
LastUpdateDate: 08/29/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0001X2012030860MON Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
2085R0001X9600045NCY Allopathic & Osteopathic PhysiciansRadiologyRadiation Oncology

No ID Information.


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