Individual
MICHAEL S MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61250 SE COOMBS PL, BEND, OR 97702-3704
(541) 706-5930
(541) 706-5931
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD201470
OR
207Q00000X
Family Medicine Physician
ME90790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244227
WELLCARE
FL
05
—
270432300
—
FL
01
—
3570709
AETNA
FL
01
—
48499
BLUE CROSS BLUE SHIELD
FL
01
—
7159625
AETNA
FL
01
—
9227094002
CIGNA
FL
01
—
P00185798
RAILROAD MEDICARE
FL
Enumeration date
12/02/2005
Last updated
09/30/2022
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