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Individual

JASON KENDELL MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
049069
GA
2085B0100X
Body Imaging Physician
Primary
14181
MS
2085B0100X
Body Imaging Physician
693403
TN
2085B0100X
Body Imaging Physician
E-0389
AR
2085B0100X
Body Imaging Physician
MD.200141
LA
2085R0204X
Vascular & Interventional Radiology Physician
14181
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00118193
MS
05
156472001
AR
01
300126521
RAIL ROAD MEDICARE
MS
01
5M809
BLUE CROSS/ BLUE SHIELD
AR
Enumeration date
06/16/2006
Last updated
10/17/2013
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