Individual
MR. SAMUEL DAVID MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 MARCLEY DR, MARTINSBURG, WV 25401-2977
(304) 263-8911
(304) 263-9450
Mailing address
101 MARCLEY DR, MARTINSBURG, WV 25401-2977
(304) 263-8911
(304) 263-9450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12716
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080020708
RAILROAD INDIVIDUAL ID#
WV
01
—
9930421
MEDICARE GROUP NUMBER
WV
01
—
C10269
RAILROAD GROUP
WV
Enumeration date
06/15/2006
Last updated
03/11/2021
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