Stephen Paul Mellor, DC | |
54 Professional Plz, Rexburg, ID 83440-2047 | |
(208) 356-6009 | |
Not Available |
Full Name | Stephen Paul Mellor |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 47 Years |
Location | 54 Professional Plz, Rexburg, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225147309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | C343 (Idaho) | Primary |
Provider Name | Mellor Chiropractic Clinic Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871602987 PECOS PAC ID: 4587728522 Enrollment ID: O20090205000496 |
Mailing Address | Practice Location Address |
---|---|
Stephen Paul Mellor, DC 54 Professional Plz, Rexburg, ID 83440-2047 Ph: (208) 356-6009 | Stephen Paul Mellor, DC 54 Professional Plz, Rexburg, ID 83440-2047 Ph: (208) 356-6009 |
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