Individual
JONATHAN PAUL MELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 E 15TH STREET, DOUGLAS, AZ 85607-1631
(520) 364-5437
(520) 805-2985
Mailing address
1205 F. AVENUE, DOUGLAS, AZ 85607
(520) 364-1429
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35242
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118563
—
AZ
Enumeration date
07/10/2006
Last updated
06/12/2013
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