Individual
DR. DAVID JOSHUA MERRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1229 E SEMINOLE ST, STE 230, SPRINGFIELD, MO 65804-2227
(417) 820-5610
(417) 820-5589
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
2010013500
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245434828
—
MO
05
—
188157001
—
AR
01
—
431560263
TRICARE
MO
01
—
P00985986
RR MCR
—
Enumeration date
06/14/2007
Last updated
01/20/2012
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