Individual
DR. TED OLIN MORGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 E BROADWAY AVE STE 229, JACKSON, WY 83001
(307) 739-7690
(307) 739-4970
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-7690
(307) 739-4970
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11507A
WY
208800000X
Urology Physician
74832
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149791000
—
WY
Enumeration date
11/02/2005
Last updated
02/17/2021
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