Provider Demographics
NPI:1225729924
Name:ELLER, MORGAN D (PA)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:D
Last Name:ELLER
Suffix:
Gender:F
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:2330 S DIXON RD
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-6411
Mailing Address - Country:US
Mailing Address - Phone:765-455-5400
Mailing Address - Fax:765-865-3710
Practice Address - Street 1:2330 S DIXON RD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-6411
Practice Address - Country:US
Practice Address - Phone:765-455-5400
Practice Address - Fax:765-865-3710
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2024-10-02
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant