Provider Demographics
NPI:1356348171
Name:MORRISON, ASTRID ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:ASTRID
Middle Name:ELIZABETH
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:4401 W MEMORIAL RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-1785
Mailing Address - Country:US
Mailing Address - Phone:405-752-3162
Mailing Address - Fax:405-936-5211
Practice Address - Street 1:4300 W MEMORIAL RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8304
Practice Address - Country:US
Practice Address - Phone:405-752-3381
Practice Address - Fax:405-752-3077
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK197372085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100741070AMedicaid
OK100119870AMedicaid
OKG30042Medicare UPIN