Individual
MR. DOUGLAS EUGENE MORTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
554 N STEELHEAD WY, #162, BOISE, ID 83704
(208) 323-9747
(208) 323-9752
Mailing address
554 N STEELHEAD WY, #162, BOISE, ID 83704
(208) 323-9747
(208) 323-9752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT277
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT277
BOARD OF MED
ID
Enumeration date
02/24/2006
Last updated
07/08/2007
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