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Organization
MELLOY CONCIERGE AND AESTHETICS MEDICAL GROUP
Active
Organization
MELLOY CONCIERGE AND AESTHETICS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONALEE FORTINER (OFFICE MANAGER)
(479) 435-4207
Entity
Organization
Contact information
Practice address
200 S 20TH ST STE C, ROGERS, AR 72758-1100
(479) 278-7010
(479) 974-2009
Mailing address
PO BOX 3013, BELLA VISTA, AR 72715-0013
(479) 278-7010
(479) 974-2009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
06/10/2026
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