Organization Name: | MELINDA R ZELLARS DPM |
NPI Number: | 1003092362 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELINDA R ZELLARS (OWNER) |
Mailing Address: | 8816 Jericho City Dr Landover |
State: | MD US |
Postal Code: | 207854762 |
Phone Number: | 3018080341 |
Fax Number: | 3013501398 |
NPI Enumeration Date: | 01/17/2008 |
NPI Last Update Date: | 01/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | 01367 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |