person
Mrs. Melanie Chisam, PA
Medical Physician Assistant in Springfield, Missouri
NPI 1225136542

Melanie Chisam is a Medical Physician Assistant based in Springfield, MO and is specialized in Medical. Melanie Chisam practices in Springfield, MO and has the professional credentials of PA. The NPI Number for Melanie Chisam is 1225136542 and holds a License No. 2005007764 (Missouri).

The current practice location address for Melanie Chisam is 3800 S National Ave Ste 510, Springfield, MO and can be reached out via phone at 417-875-3114. You can also correspond with Melanie Chisam through the mailing address at PO BOX 9007, SPRINGFIELD, MO - 65808-9007 (mailing address contact number: 417-875-3462).

Location: 3800 S National Ave Ste 510, Springfield, MO, 65808-9007
person
Provider Profile Details
NPI Number
1225136542
Provider Name
Melanie Chisam
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3800 S National Ave Ste 510, Springfield, MO, 65808-9007
Phone Number
417-875-3114
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225136542 05 MO
220024592 05 MO
institution
Provider Business Practice Location Address Details
Address
3800 S National Ave Ste 510
City
State
Zip
65807-5284
Phone Number
417-875-3114
Fax Number
person
Provider Business Mailing Address Details
Address
3800 S National Ave Ste 510
City
State
Zip
65807-5284
Phone Number
417-875-3114
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2005007764 (Missouri)
Definition
Definition to come...
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