Provider Demographics
NPI:1841252830
Name:MORLEY, MICHAEL K (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:K
Last Name:MORLEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 CARSON AVE
Mailing Address - Street 2:
Mailing Address - City:LA JUNTA
Mailing Address - State:CO
Mailing Address - Zip Code:81050-2728
Mailing Address - Country:US
Mailing Address - Phone:719-383-5959
Mailing Address - Fax:719-383-5950
Practice Address - Street 1:1112 CARSON AVE
Practice Address - Street 2:
Practice Address - City:LA JUNTA
Practice Address - State:CO
Practice Address - Zip Code:81050-2728
Practice Address - Country:US
Practice Address - Phone:719-383-5959
Practice Address - Fax:719-383-5950
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO39711207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO61008800Medicaid
CO61008800Medicaid
CO439378Medicare PIN
H44039Medicare UPIN