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NPI Code Detail

MEDICARE: CHELSEA JONES MELTZER M.D.

MEDICARE: CHELSEA JONES MELTZER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician32264OK
2207N00000XDermatology PhysicianE-12970AR

General Provider Information

NPI Number : 1255788352
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA JONES MELTZER M.D.
Provider Business Mailing Address
First Line : 5921 RILEY PARK DR
Second Line :
City : FORT SMITH
State : AR
Zip : 72916-6103
Country : US
Telephone Number : 405-271-6110
Fax Number :
Provider Business Practice Location Address
First Line : 5921 RILEY PARK DR
Second Line :
City : FORT SMITH
State : AR
Zip : 72916-6103
Country : US
Telephone Number : 479-649-3376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2016
Last Update Date : 09/03/2020

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