Provider Demographics
NPI:1023108461
Name:MORRISON, ALAN RICHARD (DO)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:RICHARD
Last Name:MORRISON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5410 CONNECTICUT AVE NW
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2859
Mailing Address - Country:US
Mailing Address - Phone:202-966-0622
Mailing Address - Fax:202-966-0977
Practice Address - Street 1:5410 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE 103
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2859
Practice Address - Country:US
Practice Address - Phone:202-966-0622
Practice Address - Fax:202-966-0977
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDO30247207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC3644009OtherAETNA HMO
MD62213305OtherBCBS
DC7530170OtherAETNA PPO
DCCIGNAOther4739368
DC0001OtherBCBS
DC2129796OtherMAMSI/UNITED
DC0001OtherBCBS
DC3644009OtherAETNA HMO
DC036367700Medicaid
G94546Medicare UPIN