Individual
DR. JEFFREY SCOTT MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2704 N TENAYA WAY, LAS VEGAS, NV 89128-0424
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 877-5199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036077443
IL
207Q00000X
Family Medicine Physician
Primary
15941
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077443
—
IL
01
—
1407856503
SMA MEDICAID
NV
01
—
V111152
SMA MEDICARE
NV
Enumeration date
07/29/2005
Last updated
11/18/2024
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