Provider Demographics
NPI:1154397891
Name:BARRETT, MORGAN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:
Last Name:BARRETT
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1934 BLUEBIRD WAY
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-7702
Mailing Address - Country:US
Mailing Address - Phone:417-372-1528
Mailing Address - Fax:
Practice Address - Street 1:1111 N KENTUCKY AVE
Practice Address - Street 2:SHAW MEDICAL BUILDING
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-2028
Practice Address - Country:US
Practice Address - Phone:417-257-5900
Practice Address - Fax:417-257-5910
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI445972085R0001X
MO20090198282085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E05258Medicare UPIN