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Individual
CLINTON T. MERRITT
Active
Individual
CLINTON T. MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52553
AZ
208M00000X
Hospitalist Physician
Primary
0101234711
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010067065
—
VA
01
—
10067065
VA PREMIER
VA
01
—
136872
ANTHEM
VA
01
—
2237898
FIRST HEALTH
VA
01
—
236708
SOUTHERN HEALTH
VA
01
—
5084062
CIGNA
VA
01
—
90408
OPTIMA
VA
Enumeration date
02/09/2006
Last updated
06/09/2025
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