Provider Demographics
NPI:1710594908
Name:ZURBORG, MORGAN DANIELLE (PA-C)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:DANIELLE
Last Name:ZURBORG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2860 S CIRCLE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-4184
Mailing Address - Country:US
Mailing Address - Phone:719-540-2100
Mailing Address - Fax:719-540-2102
Practice Address - Street 1:2860 S CIRCLE DR STE 400
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4184
Practice Address - Country:US
Practice Address - Phone:719-540-2100
Practice Address - Fax:719-540-2102
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025622363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant