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Individual

DR. JOHN DANIEL MELECH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
800 S ASH ST, NEVADA, MO 64772-3224
(417) 667-3355
Mailing address
18522 S 2200 RD, NEVADA, MO 64772-7978

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
129179
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
129179
MO

Other

Enumeration date
01/13/2020
Last updated
04/09/2024
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