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Individual
DR. MERLIN BARDETT FAUSETT
Active
Individual
DR. MERLIN BARDETT FAUSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
336166-1205
UT
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
336166-1205
UT
207VM0101X
Maternal & Fetal Medicine Physician
Primary
30616
MT
207VM0101X
Maternal & Fetal Medicine Physician
MD.13790R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1126148-00
—
WY
05
—
87041014401
—
UT
Enumeration date
03/11/2007
Last updated
11/16/2025
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