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Individual

DR. ROCKY MAX MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1725 E 19TH ST, SUITE 800, TULSA, OK 74104-5472
(918) 301-2505
(918) 744-3633
Mailing address
1725 E 19TH ST, SUITE 800, TULSA, OK 74104-5472
(918) 301-2505
(918) 744-3633

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17305
OK
2086S0127X
Trauma Surgery Physician
17305
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020023920
RAILROAD MEDICARE
OK
05
100125370A
OK
Enumeration date
07/03/2006
Last updated
03/09/2010
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