Provider Demographics
NPI:1528063468
Name:MORGAN, FRANK D (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:D
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 61ST AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-3044
Mailing Address - Country:US
Mailing Address - Phone:970-301-0852
Mailing Address - Fax:
Practice Address - Street 1:1709 61ST AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-3044
Practice Address - Country:US
Practice Address - Phone:970-330-0333
Practice Address - Fax:970-330-3197
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO36354207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO467058Medicare Oscar/Certification
CO01363548Medicaid
COCO303148Medicare PIN
COG59076Medicare UPIN