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Individual

DR. BOOKER TALFORIA MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1215 LAWN AVE, SUITE 100, ELKHART, IN 46514-2450
(574) 293-2983
(574) 293-1298
Mailing address
1215 LAWN AVE, SUITE 100, ELKHART, IN 46514-2450
(574) 293-2983
(574) 293-1298

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01063350A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000520390
ANTHEM BCBS #
IN
01
000000655399
BCBS WCCC
IN
05
102585120
MI
01
1601110811
BCBS OF MI
MI
05
200852990
IN
Enumeration date
05/10/2006
Last updated
06/04/2010
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