Provider Demographics
NPI:1396704169
Name:MORRIS, ALLEN S (MD)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:S
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3941 J ST
Mailing Address - Street 2:SUITE 270
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3628
Mailing Address - Country:US
Mailing Address - Phone:916-733-6850
Mailing Address - Fax:916-733-6824
Practice Address - Street 1:3941 J ST
Practice Address - Street 2:SUITE 270
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3628
Practice Address - Country:US
Practice Address - Phone:916-733-6850
Practice Address - Fax:916-733-6824
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2012-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG-68918208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G689181Medicare ID - Type Unspecified
CAE46490Medicare UPIN