DR. GARY ROBERT MELVIN M.D. NPI 1215960117

NPI Information

NPI: 1215960117
Provider Name: DR. GARY ROBERT MELVIN, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1024 SUNLIT DR
PRESCOTT, AZ
ZIP 86303
Phone: (928) 776-6141
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DR. Gary Robert Melvin, M.D. is a general practice in Prescott, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Gary Robert Melvin, M.D. NPI is 1215960117. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1024 SUNLIT DR
PRESCOTT, AZ
ZIP 86303-131
Phone: (928) 776-6141
Fax: (928) 776-6147

The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		1194	SOUTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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