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Individual
REED GRANT MELLOR
Active
Individual
REED GRANT MELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34996
IA
2080A0000X
Pediatric Adolescent Medicine Physician
A97111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02B6930
—
IA
01
—
220789
IOWA HEALTH SOLUTIONS
IA
01
—
34171
WELLMARK BCBS OF IOWA
IA
01
—
420681060B8
RAILROAD MEDICARE
IA
01
—
G021
TRIWEST
IA
Enumeration date
08/29/2005
Last updated
01/10/2022
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