Organization
MORGAN PHYSICIAN SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J. PHILLIPS (DIRECTOR OF REVENUE CYCLE)
(765) 349-6500
Entity
Organization
Contact information
Practice address
2200 JOHN R WOODEN DR, SUITE 201, MARTINSVILLE, IN 46151-1838
(765) 349-4600
(765) 349-6590
Mailing address
PO BOX 1557, MARTINSVILLE, IN 46151-0557
(765) 349-4600
(765) 349-6590
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200377200
—
IN
Enumeration date
08/09/2005
Last updated
05/09/2012
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