Provider Demographics
NPI:1497046536
Name:CLINE, MELISSA JACLYN (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:JACLYN
Last Name:CLINE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:8800 MONTGOMERY BLVD NE
Mailing Address - Street 2:PRESBYTERIAN HEALTHCARE SERVICES
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-2310
Mailing Address - Country:US
Mailing Address - Phone:505-462-6400
Mailing Address - Fax:505-462-6535
Practice Address - Street 1:8800 MONTGOMERY BLVD NE
Practice Address - Street 2:PRESBYTERIAN HEALTHCARE SERVICES
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-2310
Practice Address - Country:US
Practice Address - Phone:505-462-6400
Practice Address - Fax:505-462-6535
Is Sole Proprietor?:No
Enumeration Date:2011-04-24
Last Update Date:2014-07-09
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Provider Licenses
StateLicense IDTaxonomies
390200000X
NMMD2014-0197207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program