Individual
JORGE M MERCED
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11315 BRIDGEPORT WAY SW, ST CLARE HOSPITAL, LAKEWOOD, WA 98499-3004
(253) 581-6403
(253) 584-6544
Mailing address
PO BOX 11626, TACOMA, WA 98411-6626
(253) 565-9765
(253) 584-6544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00020359
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1079946
—
WA
Enumeration date
11/02/2005
Last updated
07/08/2007
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