Provider Demographics
NPI:1659591329
Name:MORTON, DAVID HOLMES (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HOLMES
Last Name:MORTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:535 BUNKER HILL ROAD
Mailing Address - City:STRASBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17579
Mailing Address - Country:US
Mailing Address - Phone:717-687-9407
Mailing Address - Fax:717-687-9237
Practice Address - Street 1:535 BUNKER HILL ROAD
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:PA
Practice Address - Zip Code:17579
Practice Address - Country:US
Practice Address - Phone:717-687-9407
Practice Address - Fax:717-687-9237
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036684E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics