Individual
DEANNA J MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-4320
(614) 293-2584
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-4320
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002537RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0263381
—
OH
Enumeration date
07/05/2007
Last updated
12/09/2020
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