Provider Demographics
NPI:1851465397
Name:MORROW, PATRICIA D (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:D
Last Name:MORROW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:80 B VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:PUEBLO OF ACOMA
Mailing Address - State:NM
Mailing Address - Zip Code:87034
Mailing Address - Country:US
Mailing Address - Phone:505-552-5300
Mailing Address - Fax:505-552-5490
Practice Address - Street 1:4901 LANG AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4495
Practice Address - Country:US
Practice Address - Phone:505-842-8171
Practice Address - Fax:505-246-0695
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM94340207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM000Z3872Medicaid
NMH3451Medicaid
E03393Medicare UPIN