Provider Demographics
NPI:1326451758
Name:MORGAN, EARL DAVID (MD)
Entity Type:Individual
Prefix:
First Name:EARL
Middle Name:DAVID
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 1:5439 RT 153
Mailing Address - Street 2:
Mailing Address - City:BROCKPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15823
Mailing Address - Country:US
Mailing Address - Phone:814-265-8728
Mailing Address - Fax:
Practice Address - Street 1:5439 RT 153
Practice Address - Street 2:
Practice Address - City:BROCKPORT
Practice Address - State:PA
Practice Address - Zip Code:15823
Practice Address - Country:US
Practice Address - Phone:814-265-8728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-040215-L207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services