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Individual

GLENN R MERRITT

Active
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Individual

GLENN R MERRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0026904
CO
207LP3000X
Pediatric Anesthesiology Physician
DR.0026904
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000F7583
NM
05
100430100
WY
05
1225004286
CO
05
128527
AZ
05
30003985630001
KS
Enumeration date
02/28/2006
Last updated
02/13/2024
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