Individual
DR. RICHARD J MELLITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1605 E BROADWAY STE 210, COLUMBIA, MO 65201-8023
(573) 815-4130
(573) 815-4135
Mailing address
1605 E BROADWAY STE 210, COLUMBIA, MO 65201-8023
(573) 815-4130
(573) 815-4135
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2000168805
MO
Other
Enumeration date
08/22/2005
Last updated
09/22/2021
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