Individual
DR. THOMAS ALTON MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6116 E WARREN AVE, DENVER, CO 80222-5752
(303) 512-0888
(303) 512-2288
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 284-3400
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
18201
CO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18201
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01182013
—
CO
05
—
641698
—
AZ
05
—
Z0737
—
UT
05
—
Z3474
—
NM
Enumeration date
03/14/2006
Last updated
01/30/2008
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