Provider Demographics
NPI:1336426196
Name:PARMLEY, MELONIE (DO)
Entity Type:Individual
Prefix:
First Name:MELONIE
Middle Name:
Last Name:PARMLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MELONIE
Other - Middle Name:
Other - Last Name:HURST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:2 5TH ST N STE 201
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59401-4011
Mailing Address - Country:US
Mailing Address - Phone:406-781-4414
Mailing Address - Fax:406-205-0700
Practice Address - Street 1:2 5TH ST N STE 201
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-4011
Practice Address - Country:US
Practice Address - Phone:406-781-4414
Practice Address - Fax:406-205-0700
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010220209992083A0100X
VA0102202999208D00000X
MTMED-PHYS-LIC-92112208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine