Individual
JEFFREY GLENN MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 CONNIE AVE, SALEM, IN 47167-2305
(812) 883-2696
Mailing address
104 CONNIE AVE, SALEM, IN 47167-2305
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01035453A
IN
207R00000X
Internal Medicine Physician
01035453A
IN
207RG0100X
Gastroenterology Physician
01035453A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000062246
ANTHEM/BCBS
IN
05
—
100255390A
—
IN
Enumeration date
06/24/2005
Last updated
07/26/2022
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