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
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
Provider Enumeration Date 2008-07-28
Last Updated Date 2015-03-06

Provider Mailing Address Detail

Address 2940 E. Banner Gateway Drive
City Gilbert
State Arizona (AZ)
Post Code 85234
Phone Number 4802566444
Fax Number 4802564734

Provider's Primary Taxonomy Detail

Speciality Surgical
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

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FAQs about Clyde Edward Merrill

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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