Provider Demographics
NPI:1043655046
Name:JESSOP, MORRIS LYNN (MD)
Entity Type:Individual
Prefix:
First Name:MORRIS
Middle Name:LYNN
Last Name:JESSOP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1401 25TH ST S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-5183
Mailing Address - Country:US
Mailing Address - Phone:406-731-8888
Mailing Address - Fax:406-731-8041
Practice Address - Street 1:1401 25TH ST S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405
Practice Address - Country:US
Practice Address - Phone:406-731-8888
Practice Address - Fax:406-731-8041
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-03
Last Update Date:2021-04-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT65642208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology