Doctor Name: | MELISSA PANTALO RAWLINS |
NPI Number: | 1194974451 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. - C |
License Number: | 002795 |
Business Practice Address: | 4000 Miamisburg Centerville Rd Ste 210 Miamisburg, OH - 453427615 |
Business Phone Number: | 9379147510 |
Business Fax Number: | 9379147508 |
Mailing Address: | 2110 Leiter Rd, MIAMISBURG |
State: | OH |
Postal Code: | 453423660 |
Phone Number: | 9379147044 |
Fax Number: | 9375227595 |
NPI Enumeration Date: | 09/11/2008 |
NPI Last Update Date: | 02/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 002795 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |