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Individual

DR. JAY ROBERT MELLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3501 N SCOTTSDALE RD, SUITE 320, SCOTTSDALE, AZ 85251-5648
(480) 424-7228
(480) 424-7317
Mailing address
3501 N SCOTTSDALE RD, SUITE 320, SCOTTSDALE, AZ 85251-5648
(480) 424-7228
(480) 424-7317

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
15628
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05306
PACIFICARE
AZ
01
15448
UNITED HEALTHCARE
AZ
05
250176
AZ
05
25017602
AZ
05
3251076
AZ
01
4275000
CIGNA HEALTH PLAN
AZ
01
626805
AETNA
AZ
01
860361052
ARIZONA FOUNDATION
AZ
01
860361052B
FIRST HEALTH PPO
AZ
01
AZ0256070
BLUE CROSS BLUE SHIELD
AZ
01
IZ5847
HEALTHNET
AZ
Enumeration date
06/14/2005
Last updated
01/22/2013
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