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Individual

MORGAN MIRTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4050 DUBLIN BLVD, DUBLIN, CA 94568-3112
(925) 875-6100
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(925) 875-6100

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
202684
MD
363LP0200X
Pediatric Nurse Practitioner
Primary
NP95010966
CA
363LP0200X
Pediatric Nurse Practitioner
RN654575
PA

Other

Enumeration date
03/04/2014
Last updated
09/02/2020
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