Organization
MELHORN AND MELHORN, D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK ROBERT MELHORN D.O. (PRESIDENT)
(804) 288-6414
Entity
Organization
Contact information
Practice address
1504 SANTA ROSA RD, SUITE 103, RICHMOND, VA 23229-5109
(804) 288-6414
(804) 288-9022
Mailing address
1504 SANTA ROSA RD, SUITE 103, RICHMOND, VA 23229-5109
(804) 288-6414
(804) 288-9022
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
—
VA
208D00000X
General Practice Physician
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049275
ANTHEM
VA
01
—
CL4980
RAILROAD MEDICARE
VA
Enumeration date
08/05/2006
Last updated
02/05/2008
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