Mark D Mellinger is a Specialist in Flagstaff, Arizona. Mark D Mellinger practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark D Mellinger is 1922070366. The last update date is 2018-03-13.
Mark D Mellinger's current location address is 2208 N Fremont Blvd, Flagstaff, Arizona. You can contact this provider via phone number 9287747757. The mailing address for Mark D Mellinger is 2208 N Fremont Blvd, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark D Mellinger |
|---|---|
| Address | 2208 N Fremont Blvd, Flagstaff, Arizona |
| Phone Number | 9287747757 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1922070366 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2018-03-13 |
Provider Mailing Address Detail
| Address | 2208 N Fremont Blvd |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860010957 |
| Phone Number | 9287747757 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 31185 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identification code issued to Mark D Mellinger by the Centers for Medicare & Medicaid Services?
The Mark D Mellinger has been assigned the NPI (National Provider Identifier) 1922070366 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Mark D Mellinger is geographically located?
The Mark D Mellinger is physically situated at the following location: 2208 N Fremont Blvd, Flagstaff, AZ, 860010957.
What is Mark D Mellinger's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark D Mellinger's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Mark D Mellinger receive the assignment of its 1922070366 from the Centers for Medicare & Medicaid Services?
The Mark D Mellinger was issued its 1922070366 by the Centers for Medicare & Medicaid Services on 2006-02-01.
When was the Mark D Mellinger's information last updated?
The Mark D Mellinger's information was last updated on 2018-03-13.