Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | DR.0050995 | CO |
N | 208000000X | Pediatrician | 50995 | CO |
Y | 2080P0204X | Pediatric Emergency Doctor | DR.0050995 | CO |
NPI | 1629211503 |
---|---|
Provider Name | Sarah Anne Mellion |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2009 |
Last Update Date | 05/12/2018 |