Healthcare Provider Details

I. General information

NPI: 1194144550
Provider Name (Legal Business Name): MELISSA PERROTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 04/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4141 E DICKENSON PL
DENVER CO
80222-6012
US

IV. Provider business mailing address

1350 GRANT ST APT 403
DENVER CO
80203-2341
US

V. Phone/Fax

Practice location:
  • Phone: 303-504-6800
  • Fax:
Mailing address:
  • Phone: 607-382-5633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: