Organization
TARA L MERCER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA L MERCER MD (PHYSICIAN OWNER)
(307) 857-3488
Entity
Organization
Contact information
Practice address
1005 COLLEGE VIEW DR, RIVERTON, WY 82501-2289
(307) 857-3488
(307) 857-5215
Mailing address
1005 COLLEGE VIEW DR, RIVERTON, WY 82501-2289
(307) 857-3488
(307) 857-5215
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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