Individual
DR. THOMAS E MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
262 DANNY THOMAS PL # MS 0515, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PLACE MS 0515, ST. JUDE CHILDREN'S RESEARCH HOSPITAL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01135
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118062
—
MS
05
—
009914390
—
AL
05
—
01365315-03
—
NY
05
—
0529107
—
IA
05
—
100249681-00
—
NE
05
—
100345630B
—
KS
05
—
113856909A
—
GA
05
—
114670490
—
MI
05
—
1534714
—
LA
05
—
200179760A
—
IN
05
—
2007616
—
OH
05
—
245028600
—
MO
05
—
3304767
—
TN
05
—
422400000
—
ME
05
—
565955
—
AZ
05
—
64926934
—
KY
05
—
7612399
—
NC
Enumeration date
05/24/2005
Last updated
01/28/2010
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