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Individual

OLIVIA E. MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
10511 GOLF COURSE RD NW STE 204, ALBUQUERQUE, NM 87114-5917
(505) 727-4430
Mailing address
4101 INDIAN SCHOOL RD NE STE 110, ALBUQUERQUE, NM 87110-3991
(505) 727-4430

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4121
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
4121
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
4121
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A-1818-14
NM
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
K1574
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16587090
NM
01
5550830001
MEDICARE NSC SCW
AZ
01
5550830003
MEDICARE NSC PEORIA
AZ
01
5550830004
MEDICARE NSC PV
AZ
01
5550830006
MEDICARE NSC ANTHEM
AZ
01
5550830007
MEDICARE NSC DV
AZ
01
5550830008
MEDICARE NSC SWV
AZ
01
5550830009
MEDICARE NSC AZ NORTH
AZ
01
5550830010
MEDICARE NSC GILBERT
AZ
05
882515
AZ
01
Z226497
MEDICARE PTAN
AZ
Enumeration date
07/21/2006
Last updated
03/10/2023
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