Individual
THOMAS J MERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
58
CO
363AS0400X
Surgical Physician Assistant
Primary
000058
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001223
KAISER-COMMERCIAL NUMBER
—
05
—
07580004
—
CO
Enumeration date
02/05/2007
Last updated
05/02/2016
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