Individual
JEFFERY SCOTT MORRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
03980
IA
2085R0202X
Diagnostic Radiology Physician
Primary
5101014880
MI
2085R0202X
Diagnostic Radiology Physician
OS13470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015298600
—
FL
05
—
1447296777
—
MI
Enumeration date
06/22/2006
Last updated
11/14/2022
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