Individual
MATTHEW GRIFFIN MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 715-3610
(405) 715-3612
Mailing address
9600 BROADWAY EXT STE B103, OKLAHOMA CITY, OK 73114-7408
(405) 715-3610
(405) 715-3612
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
113427
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
113427
OK
Other
Enumeration date
08/12/2019
Last updated
12/30/2019
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