Individual
MS. SUSAN RENAE MORRIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PAC/CNP
Contact information
Practice address
113 COMANCHE ROAD, FORT MEADE, SD 57741-1002
(605) 347-2511
(605) 720-7219
Mailing address
10928 COUNTRY CLUB ROAD, BELLE FOURCHE, SD 57717-0693
(605) 892-3630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0246
SD
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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