Individual
MR. MORGAN TIUS GARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, CNP, FNP
Contact information
Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 542-7021
(208) 542-7371
Mailing address
754 N SKYLINE DR, IDAHO FALLS, ID 83402-2662
(208) 403-2951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1217A
ID
Other
Enumeration date
08/27/2012
Last updated
08/06/2015
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