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NPI Code Detail

MEDICARE: MELISSA G. HAVLIK MD

MEDICARE: MELISSA G. HAVLIK MD
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
1208000000XPediatrics Physician39685CO
2208000000XPediatrics PhysicianDR.0039685CO

General Provider Information

NPI Number : 1285617977
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA G. HAVLIK MD
Provider Business Mailing Address
First Line : PO BOX 10700
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81502-5517
Country : US
Telephone Number : 970-243-5437
Fax Number : 970-243-7792
Provider Business Practice Location Address
First Line : 3150 N 12TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-2863
Country : US
Telephone Number : 970-243-5437
Fax Number : 970-243-7792
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 10/16/2024

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Directions to “ MELISSA G. HAVLIK MD” Practice Location

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