Provider Demographics
NPI:1316967565
Name:MORRIS, DOUGLAS BRITTON (DO)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:BRITTON
Last Name:MORRIS
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Gender:M
Credentials:DO
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Mailing Address - Street 1:4401 W MEMORIAL RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-1785
Mailing Address - Country:US
Mailing Address - Phone:405-752-3162
Mailing Address - Fax:405-936-5211
Practice Address - Street 1:2002 12TH AVE NW
Practice Address - Street 2:SUITE E
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-1227
Practice Address - Country:US
Practice Address - Phone:580-223-3216
Practice Address - Fax:580-223-4184
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2014-05-20
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Provider Licenses
StateLicense IDTaxonomies
OK42632086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200070340AMedicaid
OKH60400Medicare UPIN
OK249524904Medicare PIN