Dorothy L Mellon Md Pa in Bentonville - Specialist

Dorothy L Mellon Md Pa - NPI 1952573875

Dorothy L Mellon Md Pa is a Specialist in Bentonville, Arkansas. Dorothy L Mellon Md Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dorothy L Mellon Md Pa is 1952573875. The last update date is 2008-04-01.

Dorothy L Mellon Md Pa's current location address is 2701 Se J St, Bentonville, Arkansas. You can contact this provider via phone number 4794649800. The mailing address for Dorothy L Mellon Md Pa is 2701 Se J St, Bentonville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dorothy L Mellon Md Pa
Address 2701 Se J St, Bentonville, Arkansas
Phone Number 4794649800
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE STA
Authorized Official Name Lee C Judy
Telephone Number 4794649800

NPI Number Detail

NPI Number 1952573875
Provider Enumeration Date 2008-04-01
Last Updated Date 2008-04-01

Provider Mailing Address Detail

Address 2701 Se J St
City Bentonville
State Arkansas (AR)
Post Code 727124266
Phone Number 4794649800
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No E3548
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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FAQs about Dorothy L Mellon Md Pa

What is the unique identifier code issued to Dorothy L Mellon Md Pa by the Centers for Medicare & Medicaid Services (CMS)?

The Dorothy L Mellon Md Pa has been assigned the NPI (National Provider Identifier) 1952573875. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Dorothy L Mellon Md Pa?

The Dorothy L Mellon Md Pa is physically situated at 2701 Se J St, in the city of Bentonville, state of AR, with the postal code 727124266.

What is Dorothy L Mellon Md Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dorothy L Mellon Md Pa is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did the Dorothy L Mellon Md Pa receive the assignment of its 1952573875 from the Centers for Medicare & Medicaid Services?

The Dorothy L Mellon Md Pa was issued its 1952573875 by the Centers for Medicare & Medicaid Services on 2008-04-01.

When was the information regarding Dorothy L Mellon Md Pa most recently updated?

The details pertaining to the Dorothy L Mellon Md Pa, including its address, specialty, and other relevant information, were last refreshed on 2008-04-01.

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