Individual
MR. GREGORY ALLEN MELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
2751 ALBERT L BICKNELL DR STE 3A, SHREVEPORT, LA 71103-3976
(318) 636-9905
(318) 636-5102
Mailing address
PO BOX 3858, SHREVEPORT, LA 71133-3858
(318) 636-9905
(318) 636-5102
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
14-576
—
Other
Enumeration date
11/18/2014
Last updated
11/19/2014
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