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Individual

DR. JOHN DAVID MORGAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036082151
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036082151
IL
01
920002515
RR MEDICARE ICRO
IL
01
920004025
RR MEDICARE HITECH RAD
IL
01
960003849
RR MEDICARE CNSLTS RAD
IL
Enumeration date
11/17/2005
Last updated
07/19/2010
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