Charles Daniel Melancon, PA

NPI #1619977881 in Lafayette, Louisiana

Provider Information

NPI Number
1619977881
Entity Type
Individual
Name
Charles Daniel Melancon, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA
Enumeration Date
Jul 28, 2005
Last Updated
Feb 5, 2009

Practice Location

Address
1103 KALISTE SALOOM ROAD
Address 2
SUITE 102
ZIP Code
70508-2636
Phone
(337) 234-5234

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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