Individual
MELANIE DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 334-4822
Mailing address
691 TOUCHDOWN DR, JACKSON, MO 63755-3527
(573) 334-6584
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
126069
MO
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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