Individual
MARK R MERRELL
Active
Individual
MARK R MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00033754
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116835
LABOR & INDUSTRIES
WA
05
—
8192569
—
WA
01
—
990005359
RR MEDICARE
WA
Enumeration date
07/18/2006
Last updated
07/16/2019
Update your record
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