Individual
DR. RODERICK G MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11109 PARKVIEW PLAZA DRIVE, FORT WAYNE, IN 46845-1701
(260) 266-1000
(260) 482-4442
Mailing address
3640 NEW VISION DRIVE, SUITE A, FORT WAYNE, IN 46845-1717
(260) 482-4440
(260) 482-4442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01066517A
IN
207P00000X
Emergency Medicine Physician
35.091446
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000895570
ANTHEM
IN
05
—
200953430
—
IN
Enumeration date
05/09/2007
Last updated
06/27/2019
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