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Individual

JOHN E MERRYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
130 DANIEL DR, DANVILLE, KY 40422-2527
(859) 236-2222
(859) 236-2227
Mailing address
125 PORTMAN AVE, STANFORD, KY 40484-1229
(606) 365-3378
(606) 365-3380

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34364
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64343643
KY
Enumeration date
08/14/2006
Last updated
05/15/2015
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