MEDICARE: DR. RAMON ESQUERDO 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
1	175F00000X	Naturopath	04-832	AZ

General Provider Information

NPI Number	:	1922170984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMON ESQUERDO NMD

Provider Business Mailing Address
First Line	:	702 S 223RD DR
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85326-6205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 E SOUTHERN AVE
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85204-4942
Country	:	US
Telephone Number	:	480-610-0501
Fax Number	:

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

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	07/08/2007

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