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Individual

TIMOTHY WAGNER MORGAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 OKLAHOMA AVE, POST IMMUNIZATIONS TEAM, FORT LEONARD WOOD, MO 65473-8931
(573) 596-1682
Mailing address
200 OKLAHOMA AVE, POST IMMUNIZATIONS TEAM, FORT LEONARD WOOD, MO 65473-8931
(573) 596-1682

Taxonomy

Speciality
Code
Description
License number
State
246QI0000X
Immunology Pathology Specialist/Technologist
Primary

Other

Enumeration date
11/30/2010
Last updated
11/30/2010
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