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Individual
DR. KEITH D MERRILL
Active
Individual
DR. KEITH D MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15251
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152514
—
SC
01
—
P00834846
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
12/13/2005
Last updated
03/23/2021
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