Individual
WALTER GLENN MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 FAIRFIELD DR, SENECA, PA 16346-2130
(814) 676-7843
(814) 676-7838
Mailing address
PO BOX 2585, COLUMBUS, GA 31902-2585
(706) 660-8505
(706) 660-9390
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS008684L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014879020002
—
PA
05
—
0014879020004
—
PA
05
—
001509530013
—
PA
05
—
0015509530024
—
PA
Enumeration date
11/23/2005
Last updated
01/29/2012
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