Organization
FREMONT EAR NOSE AND THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER DAVIS MERRITT MD (PRESIDENT)
(307) 335-7555
Entity
Organization
Contact information
Practice address
8185 HIGHWAY 789, LANDER, WY 82520-2942
(307) 335-7555
Mailing address
8185 HIGHWAY 789, LANDER, WY 82520-2942
(307) 335-7555
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
08/05/2009
Last updated
09/17/2009
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