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Individual

DR. WAYNE L MORTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 GIESLER DRIVE, OSCEOLA, MO 64776-6297
(417) 646-8123
(417) 646-8911
Mailing address
PO BOX 570, OSCEOLA, MO 64776-0570
(417) 646-8123
(417) 646-8911

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6098
MO
332900000X
Non-Pharmacy Dispensing Site
R6098
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04840042
BLUE CROSS BLUE SHIELD KC
MO
01
129236
HEALTHLINK
MO
05
200578920
MO
01
328760
FAMILY HEALTH PARTNERS
MO
01
33471
HEALTHCARE USA MC
MO
05
600578918
MO
Enumeration date
06/09/2006
Last updated
07/21/2022
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