Individual
MELQUIADITO M ALLEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-6717
(812) 882-8620
Mailing address
PO BOX 1466, VINCENNES, IN 47591-7466
(812) 882-6717
(812) 882-8620
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36143
MO
208D00000X
General Practice Physician
36143A
MO
Other
Enumeration date
08/31/2006
Last updated
06/27/2017
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