Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 34.008791 | OH |
NPI | 1083734438 |
---|---|
Provider Name | Nathan Mitchell Melton |
First Address | Dayton, OH 45414-5803 |
Second Address | Dayton, OH 45414-5803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 16/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NONE AVAILABLE | NONE AVAILABLE (01) | MO |