MEDICARE: DR. ROBERT DEVON MELTON AUD

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
1	231H00000X	Audiologist	AUD4689	MS
2	231H00000X	Audiologist	AUD7054	NM
3	231H00000X	Audiologist	1320A	AL
4	231H00000X	Audiologist	AUD.0001297	CO

General Provider Information

NPI Number	:	1821614306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT DEVON MELTON AUD

Provider Business Mailing Address
First Line	:	2343 EAGLE DR UNIT A
Second Line	:
City	:	PAGOSA SPRINGS
State	:	CO
Zip	:	81147-9058
Country	:	US
Telephone Number	:	709-444-2314
Fax Number	:	970-317-2551

Provider Business Practice Location Address
First Line	:	2343 EAGLE DR UNIT A
Second Line	:
City	:	PAGOSA SPRINGS
State	:	CO
Zip	:	81147-9058
Country	:	US
Telephone Number	:	970-444-2314
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2020
Last Update Date	:	07/18/2025

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