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NPI Code Detail

MEDICARE: DAVID SPEIGEL MS CADC1

MEDICARE: DAVID SPEIGEL MS CADC1
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1881052470
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID SPEIGEL MS CADC1
Provider Business Mailing Address
First Line : 300 W MAIN ST
Second Line :
City : MEDFORD
State : OR
Zip : 97501-2756
Country : US
Telephone Number : 541-772-1777
Fax Number :
Provider Business Practice Location Address
First Line : 3397 DELTA WATERS RD
Second Line :
City : MEDFORD
State : OR
Zip : 97504-5852
Country : US
Telephone Number : 541-772-4648
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2016
Last Update Date : 10/28/2020

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Directions to “ DAVID SPEIGEL MS CADC1” Practice Location

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