Charles Luke Morris
Military Health Care Provider, Independent Duty Corpsman in San Diego, CA. Individual provider (NPI-1).
NPI number1689286189
StatusActive
Last updated in NPPESAug 18, 2020
Details
- NPI
- 1689286189
- Entity type
- Individual (NPI-1)
- Name
- Charles Luke Morris
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2020
- Certification date
- Aug 18, 2020
- Last updated
- Aug 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1002X | Military Health Care Provider, Independent Duty Corpsman | – | – | Yes |
Practice location
1675 Beta CtSan Diego, CA 92126-7060
Phone 504-220-8607
Mailing address
1675 Beta CtSan Diego, CA 92126-7060
Phone 504-220-8607
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