Individual
DR. WALTER D MERRITT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8185 STATE HIGHWAY 789, LANDER, WY 82520-2942
(307) 335-7555
(307) 335-7999
Mailing address
8185 STATE HIGHWAY 789, LANDER, WY 82520-2942
(307) 335-7555
(307) 335-7999
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
M5753
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804259200
—
ID
Enumeration date
11/28/2005
Last updated
09/11/2009
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