Individual
MR. DOUGLAS JAMES MERRIFIELD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
2055 POTTERY AVE, APT. 120, PORT ORCHARD, WA 98366-2051
(865) 588-8591
(865) 558-4481
Mailing address
2055 POTTERY AVE, APT. 120, PORT ORCHARD, WA 98366-2051
(865) 588-8591
(865) 558-4481
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0000000186
TN
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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