Provider Demographics
NPI:1790715720
Name:MORSE, ANDREW JEREMIAH (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JEREMIAH
Last Name:MORSE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2373 G RD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1002
Mailing Address - Country:US
Mailing Address - Phone:970-243-9340
Mailing Address - Fax:970-241-6894
Practice Address - Street 1:2373 G RD
Practice Address - Street 2:SUITE 280
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1002
Practice Address - Country:US
Practice Address - Phone:970-243-9340
Practice Address - Fax:970-241-6894
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2016-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO44419208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO93483031Medicaid
COC807671Medicare PIN
CO93483031Medicaid