Individual
STEVEN D MELLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3250 GORDONVILLE RD STE 206, CAPE GIRARDEAU, MO 63703-5095
(573) 651-3188
(573) 651-3048
Mailing address
3250 GORDONVILLE RD STE 206, CAPE GIRARDEAU, MO 63703-5095
(573) 651-3188
(573) 651-3048
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R8766
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241556729
—
MO
Enumeration date
07/03/2006
Last updated
01/24/2013
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