Provider Demographics
NPI:1932254869
Name:DAVID W MORSE DPM INC
Entity type:Organization
Organization Name:DAVID W MORSE DPM INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:415-824-3737
Mailing Address - Street 1:2480 MISSION ST
Mailing Address - Street 2:SUITE 327
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2468
Mailing Address - Country:US
Mailing Address - Phone:415-824-3737
Mailing Address - Fax:415-824-2107
Practice Address - Street 1:2480 MISSION ST
Practice Address - Street 2:SUITE 327
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2468
Practice Address - Country:US
Practice Address - Phone:415-824-3737
Practice Address - Fax:415-824-2107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2009-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE1734213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0221600001Medicare NSC