Individual
DR. MELODY C. DENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
505 S 336TH STREET SUITE 600, NORTHWEST EMERGENCY PHYSICIANS OF TEAM HEALTH, FEDERAL WAY, WA 98003
(800) 336-8614
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-4706
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1559
TN
207P00000X
Emergency Medicine Physician
60066655
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3307873
—
TN
05
—
3307877
—
TN
01
—
4063782
BLUE CROSS
TN
01
—
4065693
BLUE CROSS
TN
05
—
64076581
—
KY
01
—
P00243030
RAILROAD MEDICARE
TN
01
—
P00316495
RAILROAD MEDICARE
TN
Enumeration date
05/28/2006
Last updated
04/14/2009
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