Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 29079 | CO |
N | 207P00000X | Emergency Physician | DR.0029079 | CO |
Y | 208D00000X | General Practice Physician | 29079 | CO |
NPI | 1023096161 |
---|---|
Provider Name | Cheryl A. Melick |
First Address | Denver, CO 80217-3862 |
Second Address | Englewood, CO 80113-2702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 16/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01290790 | (05) | CO |
930042316 | RAILROAD MEDICARE (01) | CO |
E48466 | (02) | CO |