Individual
DR. FRANK V. MELLBLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
V.A. MEDICAL CENTER NAVAHCS, 500 N HWY 89, PRESCOTT, AZ 86314
(928) 445-4860
Mailing address
8320 E MORROW RD, PRESCOTT VALLEY, AZ 86314-3061
(928) 772-8633
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
131T
WY
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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