Individual
TAYLOR JENE MELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
500 W FORT ST # 111R, BOISE, ID 83702-4599
(208) 422-1000
(208) 422-1536
Mailing address
500 W FORT ST # 111R, BOISE, ID 83702-4599
(208) 422-1000
(208) 422-1536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MRO-2357
ID
Other
Enumeration date
03/18/2024
Last updated
04/30/2024
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