Individual
DR. JONATHAN SPENCER MELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9305 W THOMAS RD, STE 478, PHOENIX, AZ 85037-3375
(623) 236-8507
(623) 236-8508
Mailing address
9305 W THOMAS RD, STE 478, PHOENIX, AZ 85037-3375
(623) 236-8507
(623) 236-8508
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
210986
AK
207RG0100X
Gastroenterology Physician
Primary
44619
AZ
Other
Enumeration date
02/14/2007
Last updated
01/02/2025
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