# DR. PETER COLE MERRILL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699099978
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0705 | AZ | Yes |

## Other

- **Enumeration date:** 03/16/2010
- **Last updated:** 12/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1699099978 | BCBS | AZ |
| 01 | — | 3Z4231 | HEALTHNET | AZ |
| 05 | — | 519694 | — | AZ |
| 01 | — | OP00857000 | MEDICARE RR | AZ |