Individual
TOBI G MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14334 S CAMINO RIO ABAJO, SAHUARITA, AZ 85629-8504
(520) 549-8756
Mailing address
14334 S CAMINO RIO ABAJO, SAHUARITA, AZ 85629-8504
(520) 549-8756
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
550969
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550969
STATE OF ARIZONA
AZ
Enumeration date
05/22/2008
Last updated
05/22/2008
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