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Individual

DAVID A. MERIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1950 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3129
(303) 651-5000
(303) 306-7753
Mailing address
PO BOX 1175, ENGLEWOOD, CO 80150-1175
(303) 306-7783
(303) 306-7753

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5610
AZ
363A00000X
Physician Assistant
PA.0003857
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64305546
CO
01
P01425202
RAILROAD MEDICARE
CO
Enumeration date
12/12/2013
Last updated
05/03/2021
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