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Individual

DAVID B MERRITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
575 RIVERGATE, DURANGO, CO 81301
(970) 247-3537
Mailing address
12633 ROAD 32, MANCOS, CO 81328-9170

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45464
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34480700
WI
05
86675265
CO
Enumeration date
06/16/2006
Last updated
03/13/2019
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