Individual
ROY D MELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9601 INTERSTATE 630 EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-2093
Mailing address
11001 EXECUTIVE CENTER DR, SUITE 200, LITTLE ROCK, AR 72211-4316
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N7855
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117611001
—
AR
Enumeration date
09/16/2006
Last updated
05/16/2008
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