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Individual

MR. DOUGLAS EARL MORTON

Active
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Individual

MR. DOUGLAS EARL MORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4221A
WY
207Q00000X
Family Medicine Physician
WY4221A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109746
MT MDCD
MT
01
—
104253000
WY MDCD PIN
WY
01
—
307934
WY BCBS
WY
01
—
925161030922
PREFERRED ONE
WY
Enumeration date
10/23/2006
Last updated
02/23/2022
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