Doctor Name: | DR. MELISSA LYNN MCCAW |
NPI Number: | 1457655128 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DVM |
License Number: | 0301201559 |
Business Practice Address: | 12733 Braemar Village Plz Bristow, VA - 201365501 |
Business Phone Number: | 7033687301 |
Business Fax Number: | 7033687301 |
Mailing Address: | 14828 Potomac Branch Dr, WOODBRIDGE |
State: | VA |
Postal Code: | 221914074 |
Phone Number: | 7038593443 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2011 |
NPI Last Update Date: | 01/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 0301201559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |