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Shane Matthew Morris, MD

Internal Medicine in Fort Wainwright, AK. Individual provider (NPI-1).

NPI number1962035162
StatusActive
Last updated in NPPESOct 17, 2024

Details

NPI
1962035162
Entity type
Individual (NPI-1)
Name
Shane Matthew Morris
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Feb 16, 2020
Certification date
Oct 17, 2024
Last updated
Oct 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine313812-01NYYes

Practice location

4076 Neely Road
Bldg 4076 Room 1b-201
Fort Wainwright, AK 99703

Phone 907-361-6028

Mailing address

4076 Neely Road
Bldg 4076, Room 1b-201
Fort Wainwright, AK 99703

Phone 907-361-2670

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