Individual
MERINDY GRACE MORGENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
905 S MAIN ST, SHATTUCK, OK 73858-9205
(580) 938-2551
Mailing address
PO BOX 222006, DALLAS, TX 75222-2006
(972) 934-3200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37899
OK
207Q00000X
Family Medicine Physician
44920
CO
207V00000X
Obstetrics & Gynecology Physician
44920
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63282267
—
CO
Enumeration date
09/16/2006
Last updated
12/06/2022
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