Clyde Edward Merrill in Gilbert - Surgical
Clyde Edward Merrill - NPI 1497910533
Clyde Edward Merrill is a Surgical in Gilbert, Arizona. Clyde Edward Merrill practices all healthcare services and medical treatments related to Surgical. The NPI Number for Clyde Edward Merrill is 1497910533. The last update date is 2015-03-06.
Clyde Edward Merrill's current location address is 2940 E. Banner Gateway Drive, Gilbert, Arizona. You can contact this provider via phone number 4802566444 and fax number 4802564734. The mailing address for Clyde Edward Merrill is 2940 E. Banner Gateway Drive, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Clyde Edward Merrill |
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Address | 2940 E. Banner Gateway Drive, Gilbert, Arizona |
Phone Number | 4802566444 |
Fax Number | 4802564734 |
Sole Proprietor | Y |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1497910533 |
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Provider Enumeration Date | 2008-07-28 |
Last Updated Date | 2015-03-06 |
Provider Mailing Address Detail
Address | 2940 E. Banner Gateway Drive |
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City | Gilbert |
State | Arizona (AZ) |
Post Code | 85234 |
Phone Number | 4802566444 |
Fax Number | 4802564734 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | 1203 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
70594 | OH | -- | |
1203 | WV | WV LICENSE | |
723364 | OH | ANTHEM | |
635240 | OH | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Clyde Edward Merrill by the Centers for Medicare & Medicaid Services?
The Clyde Edward Merrill has been assigned the NPI (National Provider Identifier) 1497910533 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Clyde Edward Merrill located?
The Clyde Edward Merrill is located at 2940 E. Banner Gateway Drive, Gilbert, AZ 85234.
What is Clyde Edward Merrill's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clyde Edward Merrill is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
On what date did Clyde Edward Merrill receive its 1497910533 assignment from the Centers for Medicare & Medicaid Services?
The Clyde Edward Merrill was assigned its 1497910533 on 2008-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Clyde Edward Merrill last refreshed?
The information related to the Clyde Edward Merrill, including its address, specialty, and other relevant details, was last updated on 2015-03-06.
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