Individual
TED J MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
331 N 400 W, OREM, UT 84057-1913
(801) 765-0670
Mailing address
1345 W 3420 N, PLEASANT GROVE, UT 84062-8805
(801) 765-0670
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0201025-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107009149103
IHC
UT
01
—
15302
HEALTHY U
UT
01
—
66117
PEHP
UT
01
—
693897
DESERET MUTUAL
UT
01
—
PRA06689
MOLINA
UT
01
—
QM0000054865
ALTIUS
UT
Enumeration date
08/30/2006
Last updated
07/08/2007
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