MEDICARE: DR. MEGAN NICOLE PEDLEY DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	B01418	NV

General Provider Information

NPI Number	:	1639469240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN NICOLE PEDLEY DC

Provider Business Mailing Address
First Line	:	10300 W CHARLESTON BLVD
Second Line	:	SUITE 10
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1037
Country	:	US
Telephone Number	:	702-878-2225
Fax Number	:

Provider Business Practice Location Address
First Line	:	10300 W CHARLESTON BLVD
Second Line	:	SUITE 10
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1037
Country	:	US
Telephone Number	:	702-878-2225
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2011
Last Update Date	:	05/11/2015

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