Organization
DR. DOUGLAS W. MORRELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS W. MORRELL M.D. (OWNER)
(765) 932-2965
Entity
Organization
Contact information
Practice address
606 E 11TH ST, RUSHVILLE, IN 46173-1319
(765) 932-2965
(765) 932-4859
Mailing address
606 E 11TH ST, RUSHVILLE, IN 46173-1319
(765) 932-2965
(765) 932-4859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01024901A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083766
ANTHEM BLUE CROSS BLUE SHIELD
IN
05
—
100215960A
—
IN
Enumeration date
11/09/2015
Last updated
11/09/2015
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