Individual
DR. MORRIS J GIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 35TH AVE, MOLINE, IL 61265-6145
(309) 277-3500
(309) 277-3050
Mailing address
608 35TH AVE, MOLINE, IL 61265-6145
(309) 277-3500
(309) 277-3050
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-097670
IL
208800000X
Urology Physician
036097670
IL
208800000X
Urology Physician
MD-32339
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097670
—
IL
Enumeration date
02/10/2006
Last updated
01/19/2016
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