Individual
DR. MERVIN DALE TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 W 42ND AVE, PINE BLUFF, AR 71603-7109
(870) 541-0013
(870) 541-0014
Mailing address
1220 W 42ND AVE, PINE BLUFF, AR 71603-7109
(870) 541-0013
(870) 541-0014
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
E3820
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150188001
—
AR
01
—
5M697
BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/17/2005
Last updated
03/13/2017
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