NPI 1164567913

John Wallace Morrison, DMD

Practitioner Oral and Maxillofacial Surgery (Dentist) Moscow, ID

Practice location

Address: 2301 W a St Suite a, Moscow, ID 83843-4042
Phone: (208) 882-0331
Fax: (208) 882-1579

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence D-3321-OS (ID)

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Registry record

NPI: 1164567913
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.