Individual
DR. SCOTT ANTHONY MOREY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 CALIFORNIA BLVD STE R, SAN LUIS OBISPO, CA 93401-2586
(805) 439-4972
(805) 439-4976
Mailing address
620 CALIFORNIA BLVD STE R, SAN LUIS OBISPO, CA 93401-2586
(805) 439-4972
(805) 439-4976
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A66713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A667130
BLUE SHIELD INDIVIDUAL PROVIDER NUMBER
CA
01
—
A66713
MEDICARE INDIVIDUAL PIN NUMBER- NHIC
CA
01
—
BV205Z
MEDICARE PTAN - PALMETTO GBA
CA
Enumeration date
11/02/2006
Last updated
08/27/2021
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