NPI 1013080787

Michael Gerardo Melendez, MD

Practitioner Diagnostic Radiology Physician Coeur D Alene, ID

Practice location

Address: 2789 E Spyglass CT, Coeur D Alene, ID 83815
Phone: (208) 610-0041
Fax: (208) 777-1313

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence M-3755 (ID)

Other Radiology providers in Idaho →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 160913-1205 (UT)

Registry record

NPI: 1013080787
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.