Provider Demographics
NPI:1083789192
Name:MORRIS, RAY DANIEL II (MD)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:DANIEL
Last Name:MORRIS
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6847 N CHESTNUT ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-3929
Mailing Address - Country:US
Mailing Address - Phone:330-297-8606
Mailing Address - Fax:330-297-8654
Practice Address - Street 1:6847 N CHESTNUT ST
Practice Address - Street 2:SUITE 310
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-3929
Practice Address - Country:US
Practice Address - Phone:330-297-8606
Practice Address - Fax:330-297-8654
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35042573207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0518916Medicaid
OHB95484Medicare UPIN
OHMO7304641Medicare ID - Type Unspecified