Provider Demographics
NPI:1578938890
Name:GUTHRIE, MORGAN M (PA-C)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:M
Last Name:GUTHRIE
Suffix:
Gender:F
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 1:9720 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-2154
Mailing Address - Country:US
Mailing Address - Phone:303-756-3499
Mailing Address - Fax:
Practice Address - Street 1:9720 GRANT ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2154
Practice Address - Country:US
Practice Address - Phone:303-756-3499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-11
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6277363A00000X
CO5382363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant