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Dr. Jon J Morton

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NPI Number Detailed Information

Provider Information:

Name: Dr. Jon J Morton
Gender: M
Provider License Number If Given: 17954

NPI Information:

NPI: 1174526198
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 111 S 90TH ST
Omaha, NE 68114
Phone Number: 4023979800
Fax Number: 4023977591

Provider Business Practice Location Address:

Address: 111 S 90TH ST
Omaha, NE 68114
Phone Number: 4023979800
Fax Number: 4023977591

Provider Taxonomy:

Primary: 208800000X
Secondary (if any):
State: NE

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