Provider Demographics
NPI:1346336856
Name:MORRIS, DANIEL GREGORY (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:GREGORY
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 1:1150 E LANSING ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-2429
Mailing Address - Country:US
Mailing Address - Phone:918-921-7661
Mailing Address - Fax:918-921-7662
Practice Address - Street 1:1150 E LANSING ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-2429
Practice Address - Country:US
Practice Address - Phone:918-921-7661
Practice Address - Fax:918-921-7662
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2182207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100051870AMedicaid
OK249711401Medicare PIN
OKD38565Medicare UPIN