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Individual

TED L MORRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
DAHLIA & 10TH, ANTONITO, CO 81120
(719) 376-5426
(719) 376-5880
Mailing address
DAHLIA & 10TH, ANTONITO, CO 81120
(719) 376-5426
(719) 376-5880

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
21
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
840706945083
ROCKY MOUNTAIN HEALTH PLA
CO
01
970027929
TRAVELERS MEDICARE
Enumeration date
10/25/2005
Last updated
06/10/2011
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