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Individual

GERARDO R MELGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
784 14TH AVE, LONGVIEW, WA 98632-2315
(360) 703-6400
(360) 353-6411
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 636-3892
(360) 414-1114

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00034077
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033177
WA
05
7086523
WA
Enumeration date
06/23/2006
Last updated
07/25/2022
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