Individual
THEODORE ROSS MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(860) 997-3273
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101281595
VA
207L00000X
Anesthesiology Physician
2023-06182
NC
390200000X
Student in an Organized Health Care Education/Training Program
2023-01682
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101281595
MEDICAL LICENSE
VA
Enumeration date
04/10/2019
Last updated
08/01/2024
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