Individual
MARIAN ELDRIDGE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 E CHESTNUT ST # 1, LOUISVILLE, KY 40202-1713
(502) 588-3440
(502) 588-3441
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
47954
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201289520
—
IN
05
—
7100256830
—
KY
Enumeration date
03/19/2012
Last updated
02/09/2023
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