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Individual

DR. DOUGLAS CARL MELZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(303) 720-9622
Mailing address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(303) 720-9622

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
52846
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023862
KAISER COMMERCIAL NUMBER
CO
05
69354057
CO
Enumeration date
05/20/2010
Last updated
04/06/2020
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