Individual
DR. JOHN ROBERT MEHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 N. NEVADA AVENUE, SUITE 5011, COLORADO SPRINGS, CO 80907
(719) 776-7600
(719) 473-3553
Mailing address
2222 N. NEVADA AVENUE, SUITE 5011, COLORADO SPRINGS, CO 80907
(719) 776-7600
(719) 473-3553
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
45535
CO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
K7453
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19150873
—
CO
Enumeration date
05/07/2007
Last updated
04/10/2012
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