MEDICARE: MORLEY CHIROPRACTIC PC

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	04440	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	AZ0238680	OTHER	DR MORLEY BCBS
2	23074440	OTHER	DR MORLEY WORKERS COMP
3	04440	OTHER	DR MORLEY MEDICAL LICENSE
4	1922063148	OTHER	DR MORLEY NPI NUMBER

General Provider Information

NPI Number	:	1508087818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORLEY CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	4855 E WARNER RD
Second Line	:	# A 23
City	:	PHOENIX
State	:	AZ
Zip	:	85044
Country	:	US
Telephone Number	:	480-893-3437
Fax Number	:	480-893-9192

Provider Business Practice Location Address
First Line	:	4855 E WARNER RD
Second Line	:	# A 23
City	:	PHOENIX
State	:	AZ
Zip	:	85044
Country	:	US
Telephone Number	:	480-893-3437
Fax Number	:	480-893-9192

Authorized Official
Title or Position	:	OWNER
Name	:	DR. QUENTON NICHOLAS MORLEY
Credential	:	BSC DC
Telephone Number	:	480-893-3437

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	05/25/2011

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