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Individual
DENNIS EDWARD MORGAN
Active
Individual
DENNIS EDWARD MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
439
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349PA
—
SC
01
—
AA40912514
MEDICARE SC
—
Enumeration date
06/14/2006
Last updated
05/06/2010
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