Individual
TYLER DOUGLAS MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
875 SWIFT BLVD STE A, RICHLAND, WA 99352-3513
(509) 946-1654
(509) 943-5652
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 473-0637
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12762056-1206
UT
363A00000X
Physician Assistant
Primary
PA61662540
WA
363AM0700X
Medical Physician Assistant
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Other
Enumeration date
06/10/2022
Last updated
05/06/2025
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