Provider Demographics
NPI:1689640260
Name:MORRISON, MURRAY GORDON (MD)
Entity Type:Individual
Prefix:
First Name:MURRAY
Middle Name:GORDON
Last Name:MORRISON
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 1:350 WINDERMERE PLACE
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:B.C.
Mailing Address - Zip Code:V8S3J3
Mailing Address - Country:CA
Mailing Address - Phone:250-382-8789
Mailing Address - Fax:
Practice Address - Street 1:350 WINDERMERE PLACE
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:B.C.
Practice Address - Zip Code:V8S3J3
Practice Address - Country:CA
Practice Address - Phone:250-382-8789
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA19398171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA19398Other17