Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | A73407 | CA |
Y | 208200000X | Surgeon | A73407 | CA |
Y | 208600000X | Surgeon | A73407 | CA |
NPI | 1003870486 |
---|---|
Provider Name | Dr. Marc L. Melcher |
First Address | Palo Alto, CA 94304-1509 |
Second Address | Palo Alto, CA 94304-1509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 18/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A734070 | (05) | CA |
I16534 | (02) | CA |