Provider Demographics
NPI:1154145407
Name:COTRONEO, MORGAN (NMD)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:COTRONEO
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5902 E CABALLO DR
Mailing Address - Street 2:
Mailing Address - City:PARADISE VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-2214
Mailing Address - Country:US
Mailing Address - Phone:480-721-5894
Mailing Address - Fax:
Practice Address - Street 1:10752 N 89TH PL STE 118
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6743
Practice Address - Country:US
Practice Address - Phone:480-361-4005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24-1902175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath