Stephen A. Morris | |
140 E Boise Ave Suite B Boise ID 83706-4373 | |
(208) 344-4334 | |
(208) 381-0450 |
Full Name | Stephen A. Morris |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 140 E Boise Ave, Boise, Idaho |
Authorized Official Name and Position | Stephen A. Morris (OWNER) |
Authorized Official Contact | 2083444334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stephen A. Morris 140 E Boise Ave Ste B Boise ID 83706-4374 Ph: (208) 344-4334 | Stephen A. Morris 140 E Boise Ave Suite B Boise ID 83706-4373 Ph: (208) 344-4334 |
NPI Number | 1770750887 |
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Provider Enumeration Date | 05/08/2008 |
Last Update Date | 05/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770750887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D-1998-OR (Idaho) | Primary |
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