Provider Demographics
NPI:1407012487
Name:MORRIS, JASON B (DPM)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:B
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:736 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4405
Mailing Address - Country:US
Mailing Address - Phone:760-745-1226
Mailing Address - Fax:217-366-6106
Practice Address - Street 1:736 E GRAND AVE
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4405
Practice Address - Country:US
Practice Address - Phone:760-745-1226
Practice Address - Fax:217-366-6106
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016005424213ES0103X
PASC005936213ES0103X
CAE4928213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery