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NPI Code Detail

MEDICARE: DR. WAYNE SPENCE NMD

MEDICARE:  DR. WAYNE  SPENCE  NMD
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
1175F00000XNaturopath08-1086AZ

General Provider Information

NPI Number : 1164878476
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WAYNE SPENCE NMD
Provider Business Mailing Address
First Line : 4038 E HUBER ST
Second Line :
City : MESA
State : AZ
Zip : 85205-4022
Country : US
Telephone Number : 480-654-6217
Fax Number : 480-654-6217
Provider Business Practice Location Address
First Line : 7595 E MCDONALD DR
Second Line : SUITE 100
City : SCOTTSDALE
State : AZ
Zip : 85250-6004
Country : US
Telephone Number : 480-274-7256
Fax Number : 480-654-6217
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2016
Last Update Date : 05/05/2016

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Directions to “ DR. WAYNE SPENCE NMD” Practice Location

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