Individual
FREDERICK MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 CAMPUS DR, BELLEVILLE, IL 62221-5813
(314) 393-3335
Mailing address
1600 LOCUST ST UNIT 803, SAINT LOUIS, MO 63103-1810
(314) 393-3335
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IL
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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