Individual
JOHN A MERKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
774 N NEW BALLAS RD, ST LOUIS, MO 63141-6716
(314) 567-1656
(314) 567-0622
Mailing address
774 N NEW BALLAS RD, ST LOUIS, MO 63141-6716
(314) 567-1656
(314) 567-0622
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R6D30
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015722
CARE PRT
—
01
—
1601058
UHC
—
01
—
1601253
UHC
—
01
—
183229
HEALTHLINK
—
01
—
202788410
HEALTHCARE USA
—
05
—
202788410
—
MO
Enumeration date
06/14/2006
Last updated
12/04/2007
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