Provider Demographics
NPI:1700885159
Name:MORRIS, LEON HERBERT (DO)
Entity Type:Individual
Prefix:
First Name:LEON
Middle Name:HERBERT
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:750 STEPHENSON HWY
Mailing Address - Street 2:PAYOR CONTRACT SERVICES
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1103
Mailing Address - Country:US
Mailing Address - Phone:248-577-3517
Mailing Address - Fax:248-577-3526
Practice Address - Street 1:29355 NORTHWESTERN HWY
Practice Address - Street 2:STE. 120
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-1053
Practice Address - Country:US
Practice Address - Phone:248-223-9650
Practice Address - Fax:248-223-9662
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101006122207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine