Provider Demographics
NPI:1841288396
Name:MORUZZI, JAMES FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRANCIS
Last Name:MORUZZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 BLACK HILLS LN SW
Mailing Address - Street 2:SUITE E
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-8600
Mailing Address - Country:US
Mailing Address - Phone:360-754-1515
Mailing Address - Fax:360-754-7476
Practice Address - Street 1:403 BLACK HILLS LN SW
Practice Address - Street 2:SUITE E
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-8600
Practice Address - Country:US
Practice Address - Phone:360-754-1515
Practice Address - Fax:360-754-7476
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD0027522174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1059781Medicaid
WAE72500Medicare UPIN
WA1001938Medicare ID - Type UnspecifiedOB-GYN