Provider Demographics
NPI:1972119220
Name:JOSEPH MORREALE MD
Entity type:Organization
Organization Name:JOSEPH MORREALE MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MORREALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-506-4360
Mailing Address - Street 1:90 HEALTH PARK DR STE 130
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9586
Mailing Address - Country:US
Mailing Address - Phone:720-664-1110
Mailing Address - Fax:702-664-1109
Practice Address - Street 1:90 HEALTH PARK DR STE 130
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9586
Practice Address - Country:US
Practice Address - Phone:720-664-1110
Practice Address - Fax:702-664-1109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty