Individual
MELINDA MICHELLE HECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2325 SMILEY LANE, COLUMBIA, MO 65202
(573) 884-8980
(573) 884-0040
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005041211
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204920300
—
MO
01
—
855400
HEALTHLINK
MO
Enumeration date
09/07/2006
Last updated
05/09/2019
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