Individual
DR. MARY V MEBANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
87 MERCHANT DR, MONTROSE, CO 81401-3015
(970) 252-8896
(970) 240-3095
Mailing address
PO BOX 52, MONTROSE, CO 81402-0052
(970) 252-8896
(970) 240-3095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46285
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49451766
—
CO
01
—
P00416434
RAILROAD MEDICARE
WV
Enumeration date
07/23/2007
Last updated
04/30/2019
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