Provider Demographics
NPI:1164646303
Name:DOLPHIN, MELONIE (STUDENT AND HEALTH C)
Entity Type:Individual
Prefix:
First Name:MELONIE
Middle Name:
Last Name:DOLPHIN
Suffix:
Gender:F
Credentials:STUDENT AND HEALTH C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 867
Mailing Address - Street 2:105 EAST 100 SOUTH
Mailing Address - City:PRICE
Mailing Address - State:UT
Mailing Address - Zip Code:84526
Mailing Address - Country:US
Mailing Address - Phone:435-637-7200
Mailing Address - Fax:435-637-2377
Practice Address - Street 1:198 EAST CENTER STREET
Practice Address - Street 2:
Practice Address - City:MOAB
Practice Address - State:UT
Practice Address - Zip Code:84532
Practice Address - Country:US
Practice Address - Phone:435-259-2432
Practice Address - Fax:435-259-5369
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator