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Organization
FREMONT EAR NOSE AND THROAT
Active
Organization
FREMONT EAR NOSE AND THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER DAVIS MERRITT MD (PRESIDENT)
(307) 335-7555
Entity
Organization
Contact information
Practice address
8185 HIGHWAY 789, LANDER, WY 82520-2942
(307) 335-7555
Mailing address
8185 HIGHWAY 789, LANDER, WY 82520-2942
(307) 335-7555
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
08/05/2009
Last updated
09/17/2009
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