Individual
LOURDES E MELENDEZ-OETINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
270 E HUNT HWY STE 10, SAN TAN VALLEY, AZ 85143-4963
(480) 987-5500
(480) 987-5017
Mailing address
10757 N 74TH STREET, UNIT 1006, SCOTTSDALE, AZ 85260
(480) 283-9664
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25813
AZ
207VG0400X
Gynecology Physician
Primary
25813
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408569
—
AZ
Enumeration date
11/16/2005
Last updated
07/24/2017
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