Provider Demographics
NPI:1851378632
Name:MORRIS, STEPHEN OWENS (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:OWENS
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7125 E LINCOLN DR
Mailing Address - Street 2:#214 B
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-4429
Mailing Address - Country:US
Mailing Address - Phone:480-991-5015
Mailing Address - Fax:480-991-5914
Practice Address - Street 1:7125 E LINCOLN DR
Practice Address - Street 2:#214 B
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-4429
Practice Address - Country:US
Practice Address - Phone:480-991-5015
Practice Address - Fax:480-991-5914
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ108002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ216095OtherAHCCCS ID
AZD44291Medicare UPIN
AZ81940Medicare ID - Type UnspecifiedINDIVIDUAL #
AZ81938Medicare ID - Type UnspecifiedGROUP #