Basic Information
Provider Information
NPI: 1336237965
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRIS
FirstName: ANNE
MiddleName: HANNA
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: VOGT
OtherFirstName: ANNE
OtherMiddleName: HANNA
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 2440 E TUDOR RD
Address2: PMB 185
City: ANCHORAGE
State: AK
PostalCode: 99507
CountryCode: US
TelephoneNumber: 9072613650
FaxNumber: 9072614810
Practice Location
Address1: 3831 PIPER ST
Address2: TOWER S, STE. SLL0 SDC PROVIDENCE ALASKA MED CENTER
City: ANCHORAGE
State: AK
PostalCode: 995084672
CountryCode: US
TelephoneNumber: 9072613650
FaxNumber: 9072614810
Other Information
ProviderEnumerationDate: 10/10/2006
LastUpdateDate: 01/23/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RS0012XAK1285AKY Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine

ID Information
IDTypeStateIssuerDescription
MD1285105AK MEDICAID


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