Provider Demographics
NPI:1235877408
Name:MORRIS, ROBERT TYLER (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:TYLER
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 SOUTH SEVENTH STREET
Mailing Address - Street 2:GOOD SAMARITAN HOSPITAL
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591
Mailing Address - Country:US
Mailing Address - Phone:812-885-8520
Mailing Address - Fax:
Practice Address - Street 1:520 SOUTH SEVENTH STREET
Practice Address - Street 2:GOOD SAMARITAN HOSPITAL
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591
Practice Address - Country:US
Practice Address - Phone:812-885-8520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program