Provider Demographics
NPI:1801097951
Name:N EUGENE MORROW MD LLC
Entity type:Organization
Organization Name:N EUGENE MORROW MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:N EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:417-882-6363
Mailing Address - Street 1:PO BOX 842578
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-0001
Mailing Address - Country:US
Mailing Address - Phone:417-882-6363
Mailing Address - Fax:417-447-2251
Practice Address - Street 1:1531 E BRADFORD PKWY
Practice Address - Street 2:SUITE 215
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-6539
Practice Address - Country:US
Practice Address - Phone:417-882-6363
Practice Address - Fax:417-447-2251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9386207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MODN3564Medicare PIN
MO000015624Medicare PIN