Individual
ANTHONY PAUL MELILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2525
(660) 562-7996
Mailing address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-7999
(660) 562-7996
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2024032111
MO
Other
Enumeration date
04/10/2019
Last updated
09/12/2024
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