Individual
MR. BRIAN EDWARD MERCILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
916 E CYPRESS AVE, STE 200, REDDING, CA 96002
(530) 221-8400
(530) 221-8487
Mailing address
PO BOX 990955, REDDING, CA 96099-0955
(530) 243-2164
(530) 243-9446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT261660
BLUE SHIELD
CA
01
—
0PT261660
BS
—
01
—
0PT261661
BS
—
Enumeration date
03/01/2007
Last updated
07/08/2007
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