Individual
DR. JAY ROBERT MELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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