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Individual
DR. PETER COLE MERRILL
Active
Individual
DR. PETER COLE MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0705
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699099978
BCBS
AZ
01
—
3Z4231
HEALTHNET
AZ
05
—
519694
—
AZ
01
—
OP00857000
MEDICARE RR
AZ
Enumeration date
03/16/2010
Last updated
12/10/2012
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