Provider Demographics
NPI:1235172412
Name:MORRISON, JR., JOHN W (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:W
Last Name:MORRISON, JR.
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8801 HORIZON BLVD NE
Mailing Address - Street 2:SUITE 360
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-1533
Mailing Address - Country:US
Mailing Address - Phone:505-246-2622
Mailing Address - Fax:505-213-0103
Practice Address - Street 1:1399 WEIMER RD
Practice Address - Street 2:SUITE 300
Practice Address - City:TAOS
Practice Address - State:NM
Practice Address - Zip Code:87571-6340
Practice Address - Country:US
Practice Address - Phone:505-758-0621
Practice Address - Fax:505-758-0622
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2008-01-22
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Provider Licenses
StateLicense IDTaxonomies
NM92-264207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMP00277659OtherRRB MEDICARE RAILROAD
NM22962Medicaid
NMNM011967OtherBC BS OF NM
NMP00277659OtherRRB MEDICARE RAILROAD