Individual
LARRY D MELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 BURGESS ST, DELTA, CO 81416-2849
(970) 874-7668
Mailing address
PO BOX 10100, DELTA, CO 81416-0008
(970) 874-2470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29474
CO
208M00000X
Hospitalist Physician
9944
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01294743
—
CO
Enumeration date
09/26/2006
Last updated
02/02/2009
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