Individual
MELQUIADITO M ALLEGO
Active
Individual
MELQUIADITO M ALLEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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