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Individual
PAUL R. MERCER
Active
Individual
PAUL R. MERCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A55020
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A550200
BLUE SHIELD ID #
—
05
—
00A550200
—
CA
01
—
065729
HEALTH NET ID #
—
01
—
080109958
RAILROAD
—
01
—
P00367004
RAILROAD
—
Enumeration date
05/20/2006
Last updated
07/22/2019
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