Individual
DR. JOHN WALLACE MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2301 W A ST, SUITE A, MOSCOW, ID 83843-4042
(208) 882-0331
(208) 882-1579
Mailing address
2301 W A ST, SUITE A, MOSCOW, ID 83843-4042
(208) 882-0331
(208) 882-1579
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D-3321-OS
ID
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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