Individual
DR. PHILIP ORMOND MERRITT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 WILSON TER, SUITE 200, GLENDALE, CA 91206-4071
(818) 246-8974
(818) 246-7673
Mailing address
1357 SUGAR LOAF DR, LA CANADA, CA 91011-3919
(818) 790-7066
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
G46741
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G467410
—
CA
01
—
G46741
MEDICAL BOARD
CA
01
—
RHD 130967
X-RAY SUPERVISOR & OPERAT
CA
Enumeration date
11/16/2005
Last updated
03/07/2023
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