Organization
CLINTON F MERRILL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON F MERRILL MD (PRESIDENT)
(307) 742-7586
Entity
Organization
Contact information
Practice address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 742-7586
Mailing address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 742-7586
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3277A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992707285
NPI
WY
Enumeration date
04/10/2007
Last updated
08/22/2020
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