Individual
SHANE MATTHEW MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4076 NEELY ROAD, BLDG 4076 ROOM 1B-201, FORT WAINWRIGHT, AK 99703
(907) 361-6028
Mailing address
4076 NEELY ROAD, BLDG 4076, ROOM 1B-201, FORT WAINWRIGHT, AK 99703
(907) 361-2670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
313812-01
NY
Other
Enumeration date
02/16/2020
Last updated
10/17/2024
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