Basic Information
| Provider Information | |||||||||
| NPI: | 1811904188 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MORRISON | ||||||||
| FirstName: | DAVID | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1400 AFFLINK PL STE 100 | ||||||||
| Address2: | |||||||||
| City: | TUSCALOOSA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 354062289 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2053669740 | ||||||||
| FaxNumber: | 2053449992 | ||||||||
| Practice Location | |||||||||
| Address1: | 3300 E SOUTH ST STE 304 | ||||||||
| Address2: | |||||||||
| City: | LAKEWOOD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908054594 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5622320550 | ||||||||
| FaxNumber: | 5622320560 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2006 | ||||||||
| LastUpdateDate: | 01/17/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | 20819 | AL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RH0003X | C167124 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | 009911945 | 05 | AL | MEDICAID | 051514297 | 01 | AL | BC TALLASSEE | OTHER | 009905575 | 05 | AL | MEDICAID | 009985130 | 05 | AL | MEDICAID | 051507960 | 01 | AL | BC SOUTH | OTHER | 051507961 | 01 | AL | BC PRATTVILLE | OTHER | 051513323 | 01 | AL | BC EAST | OTHER |