Individual
DR. CHRISTOPHER R MELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16601 N 40TH ST STE 204, PHOENIX, AZ 85032-3356
(602) 996-4747
(602) 953-5466
Mailing address
16601 N 40TH ST STE 204, PHOENIX, AZ 85032-3356
(602) 996-4747
(602) 953-5466
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
009570
AZ
2086S0102X
Surgical Critical Care Physician
009570
AZ
2086S0127X
Trauma Surgery Physician
Primary
009570
AZ
Other
Enumeration date
04/04/2016
Last updated
01/27/2023
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