Provider Demographics
NPI:1447608435
Name:MORRIS, MARCUS (PA-C)
Entity Type:Individual
Prefix:
First Name:MARCUS
Middle Name:
Last Name:MORRIS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8427 E BASELINE RD
Mailing Address - Street 2:STE 104
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-4381
Mailing Address - Country:US
Mailing Address - Phone:480-832-0900
Mailing Address - Fax:480-832-3005
Practice Address - Street 1:2971 W ELLIOT RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-1636
Practice Address - Country:US
Practice Address - Phone:480-733-5483
Practice Address - Fax:480-733-2975
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-31
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6286363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical