Jack Wesley Morrow in Los Angeles - Surgical

Jack Wesley Morrow - NPI 1699803494

Jack Wesley Morrow is a Surgical in Los Angeles, California. Jack Wesley Morrow practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jack Wesley Morrow is 1699803494. The last update date is 2011-04-04.

Jack Wesley Morrow's current location address is 10833 Le Conte Ave, Los Angeles, California. You can contact this provider via phone number 3103191234. The mailing address for Jack Wesley Morrow is 10833 Le Conte Ave, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Wesley Morrow
Address 10833 Le Conte Ave, Los Angeles, California
Phone Number 3103191234
Fax Number
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1699803494
Provider Enumeration Date 2007-03-01
Last Updated Date 2011-04-04

Provider Mailing Address Detail

Address 10833 Le Conte Ave
City Los Angeles
State California (CA)
Post Code 900953075
Phone Number 3103191234
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA16293
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0PA162930 CA --

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FAQs about Jack Wesley Morrow

What is the Jack Wesley Morrow's unique identification number?

The Jack Wesley Morrow has been assigned the NPI (National Provider Identifier) Number 1699803494 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Jack Wesley Morrow?

The Jack Wesley Morrow is physically situated at 10833 Le Conte Ave, in the city of Los Angeles, state of CA, with the postal code 900953075.

What is the Jack Wesley Morrow's area of specialization and corresponding taxonomy classification?

The Jack Wesley Morrow's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.

On what date was the 1699803494 assigned to Jack Wesley Morrow?

The Jack Wesley Morrow was issued its 1699803494 on 2007-03-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jack Wesley Morrow last refreshed?

The information related to the Jack Wesley Morrow, including its address, specialty, and other relevant details, was last updated on 2011-04-04.

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