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Individual
MATTHEW TODD MORRIS
Active
Individual
MATTHEW TODD MORRIS
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
MD-42014
IA
207Q00000X
Family Medicine Physician
R8978
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578875746
—
IA
01
—
P01364294
RR MEDICARE
IA
Enumeration date
07/05/2010
Last updated
01/18/2024
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