Organization
DOROTHY L MELLON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY C LEE (OFFICE STAFF)
(479) 464-9800
Entity
Organization
Contact information
Practice address
2701 SE J ST, BENTONVILLE, AR 72712-4266
(479) 464-9800
Mailing address
2701 SE J ST, BENTONVILLE, AR 72712-4266
(479) 464-9800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E3548
AR
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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