MEDICARE: DR. WILLIAM HERBERT MOORCROFT PH.D.

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	173F00000X	Sleep Specialist (PhD)

General Provider Information

NPI Number	:	1992976500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM HERBERT MOORCROFT PH.D.

Provider Business Mailing Address
First Line	:	4443 VISTA DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-3330
Country	:	US
Telephone Number	:	970-308-4495
Fax Number	:	970-266-0555

Provider Business Practice Location Address
First Line	:	4443 VISTA DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-3330
Country	:	US
Telephone Number	:	970-308-4495
Fax Number	:	970-266-0555

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

Provider Enumeration Date	:	03/22/2008
Last Update Date	:	06/04/2009

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