Provider Demographics
NPI:1306818794
Name:MORPHIS, JAMES GODFREY III (PA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:GODFREY
Last Name:MORPHIS
Suffix:III
Gender:M
Credentials:PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 29870
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85038-9870
Mailing Address - Country:US
Mailing Address - Phone:480-964-2908
Mailing Address - Fax:480-833-2136
Practice Address - Street 1:2940 E BANNER GATEWAY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-2168
Practice Address - Country:US
Practice Address - Phone:480-964-2908
Practice Address - Fax:480-833-2136
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2011-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ3283363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ994807Medicaid
AZ3Z4749OtherHEALTHNET
AZ3Z4749OtherHEALTHNET