Norman Eugene Morrow, MD
Individual provider Active NPI Dermatology Physician · Springfield, MO
NPI 1821097247 · NPPES record last updated Oct 10, 2008
Key facts
- NPI
- 1821097247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- R9386 (MO)
- Practice address
- 1531 E Bradford Pkwy
Suite 215
Springfield, MO 65804-6539 - Phone
- (417) 882-6363
- Fax
- (417) 447-2251
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9386 | MO | MD | Dermatology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | R9386 | MO | Yes |
Addresses
Primary practice location
1531 E Bradford Pkwy
Suite 215
Springfield, MO 65804-6539
Mailing address
PO Box 842578
Kansas City, MO 64184-0001
Phone (417) 882-6363
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26D0968496 | Other | MO | CLIA NUMBER |
| 179313 | Other | MO | HEALTHLINK |
| 122696 | Other | MO | BC/BS |
| 81288 | Other | MO | HEALTH ADVANTAGE BC/BS |
Other providers in Springfield, MO
- Christopher Wallace Morrison
- Cynthia Sue Morrison
- Dennis N Morrison
- Kendra Louise Morrison
- Robert D Morrissey
- Kimberly Morse
- Robin Ramona Morse
- Amy Morton
- Kayce Myranda Whittington Morton
- Rundall T Mosley
All providers in Springfield, MO · Dermatology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.