Individual
MARK D MELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1840 N JASPER DR STE 2, FLAGSTAFF, AZ 86001-1634
(866) 974-2673
(866) 939-2673
Mailing address
2208 N FREMONT BLVD, FLAGSTAFF, AZ 86001-0957
(928) 774-7757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
31185
AZ
207X00000X
Orthopaedic Surgery Physician
31185
AZ
207X00000X
Orthopaedic Surgery Physician
33479
AZ
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
31185
AZ
207XS0106X
Orthopaedic Hand Surgery Physician
33479
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766446
—
AZ
Enumeration date
02/01/2006
Last updated
08/08/2025
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