Individual
DIANE MARIE MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2596 F RD, GRAND JUNCTION, CO 81505-1443
(970) 254-3180
Mailing address
PO BOX 1687, GRAND JUNCTION, CO 81502-1687
(970) 256-6322
(970) 263-2691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0043829
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47729732
—
CO
Enumeration date
07/29/2005
Last updated
11/24/2015
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