Individual
DR. DAVID MYATT MELNICZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 S STATE HIGHWAY 49 STE 1&2, JACKSON, CA 95642-2685
(209) 256-8200
(209) 256-8204
Mailing address
777 S STATE HIGHWAY 49 STE 1&2, JACKSON, CA 95642-2685
(209) 256-8200
(209) 256-8204
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A92447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A92447
LICENSE
CA
Enumeration date
06/12/2006
Last updated
01/28/2020
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