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Contact Information

JOHN R MEHALL, MD
2222 N. NEVADA AVENUE
SUITE 5011
COLORADO SPRINGS, CO80907
 Phone: 719-776-7600
 Fax: 719-473-3553
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN R MEHALL · (Male)

NPI # 1164635009
Status Active
Credentials MD
Entity Individual
Enumeration date 05/07/2007
Last updated 04/10/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 45535
  • TX License # K7453
  • CO Medicaid 19150873
Hospital affiliation(s)
  • CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES - (Acute Care)
    2222 N NEVADA AVE
    COLORADO SPRINGS, CO 80907
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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