Provider Demographics
NPI:1932272861
Name:FOX, MORRIS LEO (L AC)
Entity Type:Individual
Prefix:MR
First Name:MORRIS
Middle Name:LEO
Last Name:FOX
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1022 SANCHEZ ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-3313
Mailing Address - Country:US
Mailing Address - Phone:415-341-8476
Mailing Address - Fax:415-285-7945
Practice Address - Street 1:1022 SANCHEZ ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-3313
Practice Address - Country:US
Practice Address - Phone:415-341-8476
Practice Address - Fax:415-285-7945
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5588171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist