Individual
ERIN L MELLOTT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
820 1ST ST., LIMON, CO 80828-1120
(719) 775-2367
(719) 775-2365
Mailing address
820 1ST ST., LIMON, CO 80828-1120
(719) 775-2367
(719) 775-2365
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2037
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76000311
—
CO
Enumeration date
05/27/2005
Last updated
07/08/2007
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