Individual
DR. DIANE F MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4901 FOREST PARK AVE STE 710, STE 710, SAINT LOUIS, MO 63108-1402
(314) 273-4724
(314) 747-1481
Mailing address
660 S EUCLID AVE, C B 8064, SAINT LOUIS, MO 63110-1010
(314) 273-4724
(314) 747-1481
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
R7459
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351975109
—
IL
05
—
200729317
—
MO
Enumeration date
07/25/2006
Last updated
11/27/2023
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