Individual
MITCHELL JOE MELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1303 N MAIN ST, CEDAR CITY, UT 84721-9746
(435) 868-5567
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 868-5567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
112624-1205
UT
207Q00000X
Family Medicine Physician
981126241205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D2539
—
UT
Enumeration date
06/16/2005
Last updated
03/28/2018
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