Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 01056441A | IN |
NPI | 1023062817 |
---|---|
Provider Name | Allison R Melton |
First Address | Belfast, ME 04915-4021 |
Second Address | Evansville, IN 47714-0541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I36033 | (02) | IN |