Individual
DR. GARY L MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3155 STILLWATER DR STE A, PRESCOTT, AZ 86305-7172
(928) 227-1738
(928) 583-7992
Mailing address
3155 STILLWATER DR STE A, PRESCOTT, AZ 86305-7172
(928) 227-1738
(928) 583-7992
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AZ845
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129967
—
AZ
01
—
410022566
RAILROAD MEDICARE PIN
AZ
Enumeration date
05/23/2005
Last updated
11/10/2021
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