Individual
DR. GARY ROBERT MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1024 SUNLIT DR, PRESCOTT, AZ 86303-5131
(928) 776-6141
(928) 776-6147
Mailing address
1024 SUNLIT DR, PRESCOTT, AZ 86303-5131
(928) 778-7902
(928) 776-6147
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1194
SD
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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