Individual
DR. NATHAN C MELOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2535 MAPLECREST RD STE 12, BETTENDORF, IA 52722-2799
(563) 421-3555
Mailing address
2535 MAPLECREST RD STE 12, BETTENDORF, IA 52722-2799
(563) 421-3555
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
036112357
IL
208VP0014X
Interventional Pain Medicine Physician
5101017187
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
51723-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4999459-11
—
MI
05
—
5207874-11
—
MI
01
—
556315665
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/01/2005
Last updated
05/21/2021
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