Provider Demographics
NPI:1770590077
Name:MORGAN, CHRISTOPHER WAYNE (MD)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:WAYNE
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1850 SPRING RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SUSANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:96130-6100
Mailing Address - Country:US
Mailing Address - Phone:530-257-5563
Mailing Address - Fax:530-257-6015
Practice Address - Street 1:1850 SPRING RIDGE DR
Practice Address - Street 2:
Practice Address - City:SUSANVILLE
Practice Address - State:CA
Practice Address - Zip Code:96130-6100
Practice Address - Country:US
Practice Address - Phone:530-257-5563
Practice Address - Fax:530-257-6015
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2008-10-21
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Provider Licenses
StateLicense IDTaxonomies
CAG64315207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA080061921OtherRAILROAD MEDICARE
CA942492609OtherTAX ID
CA942492609OtherTAX ID