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Contact Information

MORGAN IDSO
220 SUNFLOWER CT
STATELINE, NV89449-7705
 Phone: 925-389-1004
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MORGAN IDSO · (Female)

NPI # 1649027061
Status Active
Credentials
Entity Individual
Enumeration date 05/03/2024
Last updated 03/28/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • NV License # PA3430
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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