Individual
JIMMY D MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1717 S RANGE LINE RD STE B, JOPLIN, MO 64804-3224
(417) 623-2207
(417) 623-0342
Mailing address
1717 S RANGE LINE RD STE B, JOPLIN, MO 64804-3224
(417) 623-2207
(417) 623-0342
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2002009363
MO
207Q00000X
Family Medicine Physician
2002009363
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204642102
—
MO
05
—
243419306
—
MO
Enumeration date
08/01/2006
Last updated
07/21/2022
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