Organization
MORRISON MEDICAL ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK JON MORRISON DO (OWNER)
(417) 255-8645
Entity
Organization
Contact information
Practice address
1307 PORTER WAGONER BLVD, WEST PLAINS, MO 65775-1828
(417) 255-8645
(417) 255-8649
Mailing address
1307 PORTER WAGONER BLVD, WEST PLAINS, MO 65775-1828
(417) 255-8645
(417) 255-8649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010028285
MO
Other
Enumeration date
09/14/2012
Last updated
03/31/2015
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