Provider Demographics
NPI:1821158536
Name:MORGAN, BROOK E (PA-C)
Entity Type:Individual
Prefix:
First Name:BROOK
Middle Name:E
Last Name:MORGAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 MURDOCH AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-3248
Mailing Address - Country:US
Mailing Address - Phone:304-485-8040
Mailing Address - Fax:304-485-4883
Practice Address - Street 1:1600 MURDOCH AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101
Practice Address - Country:US
Practice Address - Phone:304-485-8040
Practice Address - Fax:304-485-4883
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2022-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV01049363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical