Provider Demographics
NPI:1619977139
Name:MORGAN, RICHARD R (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:R
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6201 N. SANTA FE
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118
Mailing Address - Country:US
Mailing Address - Phone:405-272-5419
Mailing Address - Fax:405-272-5492
Practice Address - Street 1:6201 N SANTA FE AVE
Practice Address - Street 2:SUITE 2000
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-7532
Practice Address - Country:US
Practice Address - Phone:405-272-5419
Practice Address - Fax:405-272-5492
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK16168207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKD42678Medicare UPIN