Individual
DR. TIMOTHY GENE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
615 S NEW BALLAS RD, DEPT OF RADIOLOGY, SAINT LOUIS, MO 63141-8221
(314) 251-6031
(314) 251-6343
Mailing address
11475 OLDE CABIN RD, SUITE 200, SAINT LOUIS, MO 63141-7128
(314) 991-8200
(314) 569-1787
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2014012626
MO
2085R0202X
Diagnostic Radiology Physician
Primary
2014012626
MO
2085R0202X
Diagnostic Radiology Physician
P0641
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598792988
—
MO
Enumeration date
06/28/2006
Last updated
09/28/2015
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