Individual
DR. JASON LEE MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SPECHT POINT RD, STE 127, FORT COLLINS, CO 80525-4311
(970) 493-7733
(970) 493-8745
Mailing address
1600 SPECHT POINT RD, STE 127, FORT COLLINS, CO 80525-4311
(970) 493-7733
(970) 493-8745
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101232293
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09279555
—
CO
Enumeration date
10/14/2005
Last updated
04/06/2009
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