Individual
DR. SAMUEL MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
64 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506
(304) 598-6984
(304) 598-4560
Mailing address
64 MEDICAL CENTER DRIVE, BOX 9162, MORGANTOWN, WV 26506-9162
(304) 598-4560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0420012849
VT
207RH0000X
Hematology (Internal Medicine) Physician
Primary
29029
WV
207RH0000X
Hematology (Internal Medicine) Physician
D0097056
MD
Other
Enumeration date
03/22/2011
Last updated
04/08/2022
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