Individual
JACK L MORGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3500 FRANK PHILLIPS, ER DEPT, BARTLESVILLE, OK 74006
(918) 333-7200
(918) 331-1091
Mailing address
226 SE DEBELL, BLDG A, BARTLESVILLE, OK 74006
(918) 331-1090
(918) 331-1091
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
3040
OK
207R00000X
Internal Medicine Physician
3040
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100690B
—
OK
01
—
P00265529
MEDICARE RAILROAD
OK
Enumeration date
09/23/2005
Last updated
06/20/2018
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