Individual
DR. MARK EDWARD MCMELLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11600 W SECOND PL, TRAUMA DEPT., LAKEWOOD, CO 80228
(314) 251-6440
(314) 251-4456
Mailing address
11600 W SECOND PL, TRAUMA DEPT., LAKEWOOD, CO 80228
(314) 251-6440
(314) 251-4456
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2009012459
MO
2086S0102X
Surgical Critical Care Physician
2009012459
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053597955
—
MO
Enumeration date
01/10/2008
Last updated
11/30/2022
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