Individual
ARTHUR NELSON MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
(307) 638-8256
Mailing address
2526 SEYMOUR AVE, CHEYENNE, WY 82001-3159
(307) 634-9653
(307) 638-8256
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
2361A
WY
2084P0800X
Psychiatry Physician
Primary
2361A
WY
2084P0802X
Addiction Psychiatry Physician
2361A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260012308
RAILROAD MEDICARE
—
01
—
305052
BLUE SHIELD
WY
Enumeration date
07/18/2005
Last updated
03/14/2011
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