Doctor Name: | DR. STEVEN WYNN MELHORN |
NPI Number: | 1598790362 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 0102036926 |
Business Practice Address: | 1504 Santa Rosa Rd Suite 103 Richmond, VA - 232295109 |
Business Phone Number: | 8042886414 |
Business Fax Number: | 8042889022 |
Mailing Address: | 103 N Erlwood Ct, RICHMOND |
State: | VA |
Postal Code: | 232297679 |
Phone Number: | 8047419885 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 02/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0102036926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |