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Contact Information

REED G MELLOR, MD
7373 WEST LN
STOCKTON, CA95210-3377
 Phone: 209-476-3094
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for REED G MELLOR · (Male)

NPI Number 1881687465
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2005
Last updated 01/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A97111
  • IA License # 34996
  • IA Medicaid 02B6930
  • IA Other 220789 IOWA HEALTH SOLUTIONS
  • IA Other 420681060B8 RAILROAD MEDICARE
  • IA Other G021 TRIWEST
  • IA Other 34171 WELLMARK BCBS OF IOWA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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