Doctor Name: | MR. CHRISTOPHER DEAN MELE |
NPI Number: | 1659414712 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.T. |
License Number: | 160722 |
Business Practice Address: | 56 Jacobson Pl Unit 1 56 Jacobson Pl. #1 Leadville, CO - 804613376 |
Business Phone Number: | 7194861894 |
Business Fax Number: | |
Mailing Address: | Po Box 1181, 56 Jacobson Pl. #1 LEADVILLE |
State: | CO |
Postal Code: | 804611181 |
Phone Number: | 7194861894 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246QM0706X |
License Number: | 160722 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Pathology |
Taxonomy Specialization: | Medical Technologist |
Taxonomy Definition: |