Individual
TIMOTHY PATRICK MELLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
700 BITNER RD, PARK CITY, UT 84098-5489
(435) 615-2261
(435) 615-2754
Mailing address
700 BITNER RD, PARK CITY, UT 84098-5489
(435) 615-2261
(435) 615-2754
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
48595611202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00005589401
—
TX
Enumeration date
02/17/2006
Last updated
08/21/2007
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