Individual
MR. MONTE G. MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 W. WHITE MOUNTAIN BLVD. SUITE D, LAKESIDE, AZ 85929-7014
(928) 368-4547
(928) 368-4527
Mailing address
300 W. WHITE MOUNTAIN BLVD. SUITE D, LAKESIDE, AZ 85929-7014
(928) 368-4547
(928) 368-4527
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
107866
MN
208D00000X
General Practice Physician
Primary
58018
AZ
Other
Enumeration date
04/23/2008
Last updated
01/28/2020
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