Jonathan Spencer Mellen M.D.

NPI 1609919471 - Internal Medicine - 207R00000X

NPI Details
NPI 1609919471
Gender Male
Enumeration Date 02/14/2007
Last Updated 11/30/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
4129 E PALO VERDE DR
PHOENIX AZ, 85018-1124, US
Phone (623) 236-8507
Fax (623) 236-8508
Business Location
4129 E PALO VERDE DR
PHOENIX AZ, 85018-1124, US
Phone (623) 236-8507
Fax (480) 424-7317
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A94920
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According to our database, Dr. Jonathan Spencer Mellen M.D. NPI is 1609919471, taxonomy code is 207R00000X and license number is A94920, license state is located at California. Jonathan Spencer Mellen M.D. physically located at 4129 E Palo Verde Dr, Phoenix AZ, 85018-1124. NPI Number Jonathan Spencer Mellen M.D. has the Individual type.

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1609919471 NPI number is provided on an as is basis without warranty of any kind. 1609919471 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Spencer Mellen M.D. are for informational purposes only.