Individual
MORGAN JOHONN KIZZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
604 S 9TH ST, CANON CITY, CO 81212-4910
(719) 275-1037
(877) 807-4835
Mailing address
PO BOX 576, CANON CITY, CO 81215-0576
(719) 275-1037
(877) 807-4835
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0000747
CO
Other
Enumeration date
07/03/2012
Last updated
10/23/2019
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