Provider Demographics
NPI:1053042093
Name:GARY MORRIS MD PLLC
Entity Type:Organization
Organization Name:GARY MORRIS MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-641-3733
Mailing Address - Street 1:4700 HALE PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4052
Mailing Address - Country:US
Mailing Address - Phone:303-813-6555
Mailing Address - Fax:720-523-1322
Practice Address - Street 1:4700 HALE PKWY STE 500
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4052
Practice Address - Country:US
Practice Address - Phone:303-813-6555
Practice Address - Fax:720-523-1322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01272608Medicaid