Provider Demographics
NPI:1821097247
Name:MORROW, NORMAN EUGENE (MD)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:EUGENE
Last Name:MORROW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 842578
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-0001
Mailing Address - Country:US
Mailing Address - Phone:417-882-6363
Mailing Address - Fax:417-447-2251
Practice Address - Street 1:1531 E BRADFORD PKWY
Practice Address - Street 2:SUITE 215
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-6539
Practice Address - Country:US
Practice Address - Phone:417-882-6363
Practice Address - Fax:417-447-2251
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9386207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO26D0968496OtherCLIA NUMBER
MO179313OtherHEALTHLINK
MO122696OtherBC/BS
MO81288OtherHEALTH ADVANTAGE BC/BS
MO945395624Medicare PIN
MO81288OtherHEALTH ADVANTAGE BC/BS
MO179313OtherHEALTHLINK