Peter T Merrell in Bettendorf - Physician Assistant

Peter T Merrell - NPI 1598954737

Peter T Merrell is a Physician Assistant in Bettendorf, Iowa. Peter T Merrell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Peter T Merrell is 1598954737. The last update date is 2014-11-13.

Peter T Merrell's current location address is 2300 53rd Ave, Bettendorf, Iowa. You can contact this provider via phone number 5633220971 and fax number 5633240615. The mailing address for Peter T Merrell is 2300 53rd Ave, Bettendorf, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter T Merrell
Address 2300 53rd Ave, Bettendorf, Iowa
Phone Number 5633220971
Fax Number 5633240615
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1598954737
Provider Enumeration Date 2007-10-23
Last Updated Date 2014-11-13

Provider Mailing Address Detail

Address 2300 53rd Ave
City Bettendorf
State Iowa (IA)
Post Code 527227564
Phone Number 5633220971
Fax Number 5633240615

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 2160
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
578210026 IA MEDICARE PTAN
209395029 IL MEDICARE PTAN

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FAQs about Peter T Merrell

What is the unique 10-digit identification code assigned to Peter T Merrell by the Centers for Medicare & Medicaid Services?

The Peter T Merrell has been issued the NPI (National Provider Identifier) 1598954737, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Peter T Merrell?

The Peter T Merrell is situated at 2300 53Rd Ave, in the city of Bettendorf, state of IA, with the zip code 527227564.

What is the area of specialization for Peter T Merrell, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Peter T Merrell is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

When did Peter T Merrell receive its 1598954737 assignment?

The Peter T Merrell was assigned its 1598954737 on 2007-10-23, which is the date when this unique identifier was issued to the organization.

When was the information regarding Peter T Merrell most recently updated?

The details pertaining to the Peter T Merrell, including its address, specialty, and other relevant information, were last refreshed on 2014-11-13.

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