Most Relevant Information
Provider Data
| NPI Number: | 1003425414 |
| Provider Name: | TAYLOR NICOLE MELGAR PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 2020024238 |
Most Important Dates
| Enumeration Date: | 07/31/2020 |
| Last Updated: | 07/31/2020 |
Provider Practice Location
9556 MANCHESTER RD
SAINT LOUIS
MO
631191313
Practice Location Phone/Fax
| Phone: | 3143735740 |
| Fax: |
Provider Mailing Location
9556 MANCHESTER RD
SAINT LOUIS
MO
631191313
Provider Mailing Phone/Fax
| Phone: | 3143735740 |
| Fax: |