Doctor Name: | WILLIAM DAVID MELVIN |
NPI Number: | 1134300171 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.T. C. T. (R) |
License Number: | 225824 |
Business Practice Address: | 1213 Court Pl Colby, KS - 677013647 |
Business Phone Number: | 7854433298 |
Business Fax Number: | |
Mailing Address: | 1213 Court Pl, COLBY |
State: | KS |
Postal Code: | 677013647 |
Phone Number: | 7854433298 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2007 |
NPI Last Update Date: | 11/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3401X |
License Number: | 225824 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Computed Tomography |
Taxonomy Definition: |