Individual
IRA A. MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35767 POND FORK RD, WHARTON, WV 25208-0089
(304) 247-6202
(304) 247-6203
Mailing address
37456 COAL RIVER RD, WHITESVILLE, WV 25209-0217
(304) 854-1323
(304) 854-1021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18377
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046826000
—
WV
01
—
WV18377
STATE LICENSE NUMBER
WV
Enumeration date
07/27/2007
Last updated
10/10/2011
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