Individual
JOHN MELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 BOWLES AVE STE 220, FENTON, MO 63026-2384
(636) 681-3030
(636) 326-1545
Mailing address
1011 BOWLES AVE STE 220, FENTON, MO 63026-2384
(636) 681-3030
(636) 326-1545
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R3E73
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202250106
—
MO
Enumeration date
04/27/2006
Last updated
12/20/2023
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