Provider Demographics
NPI:1275170433
Name:MORGAN P MORRIS
Entity Type:Organization
Organization Name:MORGAN P MORRIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-664-3200
Mailing Address - Street 1:3611 S GRAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63118-3403
Mailing Address - Country:US
Mailing Address - Phone:314-664-3200
Mailing Address - Fax:314-664-6009
Practice Address - Street 1:3611 S GRAND BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63118-3403
Practice Address - Country:US
Practice Address - Phone:314-664-3200
Practice Address - Fax:314-664-6009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-06
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty