Individual
PETER MELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 330-2000
Mailing address
PO BOX 17695, BALTIMORE, MD 21297-1695
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101037403
VA
207P00000X
Emergency Medicine Physician
55190
OH
Other
Enumeration date
07/13/2006
Last updated
02/19/2008
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