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Individual

MATHEW M MERRITT

Active
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Individual

MATHEW M MERRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23935
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009989120
AL
05
009989130
AL
05
009989140
AL
05
009989150
AL
05
009989180
AL
05
009989190
AL
05
009989200
AL
05
009989210
AL
05
009989220
AL
05
009989230
AL
05
009989240
AL
05
009993580
AL
05
051501078
AL
Enumeration date
06/08/2006
Last updated
02/28/2021
Update your record

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