Individual
MELIN S CANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 354-5620
Mailing address
PO BOX 30513, TUCSON, AZ 85751-0513
(520) 886-5236
(520) 722-5662
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17362
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100206440A
—
OK
05
—
690801
—
AZ
Enumeration date
12/30/2005
Last updated
11/01/2011
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