Individual
GINA MARIE MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
2711 LAKESIDE DR, BENTON, AR 72019-7092
(845) 461-9574
Mailing address
2711 LAKESIDE DR, BENTON, AR 72019-7092
(845) 461-9574
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
277
AR
Other
Enumeration date
05/13/2009
Last updated
07/10/2024
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