Individual
DR. PAUL CANNON MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-6416
(208) 367-2742
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
DOS-1081
HI
207L00000X
Anesthesiology Physician
Primary
O-0436
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807809100
—
ID
Enumeration date
07/07/2006
Last updated
10/26/2023
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