MEDICARE: MORGAN SPENCER ND

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	175F00000X	Naturopath	ND1436	CA

General Provider Information

NPI Number	:	1588493878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN SPENCER ND

Provider Business Mailing Address
First Line	:	PO BOX 18661
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-0661
Country	:	US
Telephone Number	:	702-743-1775
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 MOUNT ROSE ST
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-3419
Country	:	US
Telephone Number	:	775-374-4488
Fax Number	:

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

Provider Enumeration Date	:	07/26/2024
Last Update Date	:	07/26/2024

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