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Individual

THOMAS EDWARD MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
914 PINE STREET, MOUNT SHASTA, CA 96067-2143
(530) 926-6111
Mailing address
P.O. BOX 12259, WESTMINSTER, CA 92685-2259
(888) 634-8405

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
G50323
CA
207P00000X
Emergency Medicine Physician
G50323
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G503230
CA
Enumeration date
08/10/2006
Last updated
10/30/2008
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