Individual
JEFFREY D MOREHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5406 GIBSON BLVD SE, ALBUQUERQUE, NM 87108
(505) 262-7777
(505) 262-7959
Mailing address
PO BOX 27829, ALBUQUERQUE, NM 87125
(505) 232-1920
(505) 727-9276
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
93340
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13601
—
NM
Enumeration date
07/08/2006
Last updated
09/20/2011
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