Individual
FREDRIC LEROY MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10738 BUSINESS 21, HILLSBORO, MO 63050-5075
(636) 543-2328
Mailing address
10738 BUSINESS 21, HILLSBORO, MO 63050-5075
(636) 543-2328
(636) 543-2329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M02017022848
MO
Other
Enumeration date
04/24/2014
Last updated
07/21/2022
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