Provider Demographics
NPI:1003832536
Name:MORRIS, MARK R (PA-C)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:R
Last Name:MORRIS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 3014 1215 DUFF AVE
Mailing Address - Street 2:MCFARLAND CLINIC, PC
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-239-4496
Mailing Address - Fax:515-239-4767
Practice Address - Street 1:1215 DUFF AVE
Practice Address - Street 2:MCFARLAND CLINIC, PC
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3014
Practice Address - Country:US
Practice Address - Phone:515-239-4496
Practice Address - Fax:515-239-4767
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2009-11-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA1689363AM0700X
IA001689363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
S55201Medicare UPIN