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Individual

RICHARD FRANKLIN MORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
71673
WV
367500000X
Certified Registered Nurse Anesthetist
RN332197L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001706469
MSBCBS
WV
01
002012792
MSBCBS
WV
05
0207026000
WV
01
1072625
BRICKSTREET
WV
01
270052997
TRICARE
WV
01
27005299701
BRICKSTREET GROUP
WV
05
2832902
OH
05
3810004048
WV
Enumeration date
02/17/2006
Last updated
07/28/2008
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