Provider Demographics
NPI:1255788352
Name:MELTZER, CHELSEA JONES (MD)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:JONES
Last Name:MELTZER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:COATS
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5921 RILEY PARK DR
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72916-6103
Mailing Address - Country:US
Mailing Address - Phone:405-271-6110
Mailing Address - Fax:
Practice Address - Street 1:5921 RILEY PARK DR
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72916-6103
Practice Address - Country:US
Practice Address - Phone:479-649-3376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK32264207N00000X
ARE-12970207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology