Individual
DR. STACIE A. MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3125 E GRAND AVE UNIT B, LARAMIE, WY 82070-5137
(307) 426-4014
(307) 426-4016
Mailing address
3125 E GRAND AVE UNIT B, LARAMIE, WY 82070-5137
(307) 631-9262
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1351
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1351
—
WY
Enumeration date
06/27/2013
Last updated
11/13/2018
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