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Individual

MS. MELINDA L NAGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1450 E VALLEY RD, STE 105 ALL VALLEY WOMENS CARE, BASALT, CO 81621-8352
(970) 927-1717
(970) 927-6164
Mailing address
1450 E VALLEY RD, STE 105, BASALT, CO 81621-8352
(970) 927-1717
(970) 927-6164

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
39222
CO
207VX0000X
Obstetrics Physician
39222
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1609842145
GROUP NPI
01
201467647
TAX ID
05
24072052
CO
Enumeration date
03/14/2006
Last updated
01/11/2013
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