Provider Demographics
NPI:1093725269
Name:MORGAN, JAMES B (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 W OAK ST STE 204
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-4574
Mailing Address - Country:US
Mailing Address - Phone:870-881-9311
Mailing Address - Fax:870-881-8588
Practice Address - Street 1:403 W OAK ST STE 204
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-4574
Practice Address - Country:US
Practice Address - Phone:870-881-9311
Practice Address - Fax:870-881-8588
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE4790208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5N711OtherBLUE CROSS
AR162736001Medicaid
ARP00355118Medicare PIN
AR5N711OtherBLUE CROSS
AR5N711Medicare PIN