Provider Demographics
NPI:1245492602
Name:MORRIS, ANDREW B (DO)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:B
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:17525 MEDICAL CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057-1824
Mailing Address - Country:US
Mailing Address - Phone:816-994-3150
Mailing Address - Fax:816-359-3044
Practice Address - Street 1:17525 MEDICAL CENTER PKWY
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-1824
Practice Address - Country:US
Practice Address - Phone:816-994-3150
Practice Address - Fax:816-359-3044
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2020-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOT012756208800000X
KS05-36538208800000X
MO203027604208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology