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Individual

DR. HEATHER RAE MERRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
4212 N 16TH ST, PHOENIX, AZ 85016-5319

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301097120
MI
207P00000X
Emergency Medicine Physician
49721
AZ
207P00000X
Emergency Medicine Physician
Primary
9601
SD

Other

Enumeration date
07/01/2010
Last updated
10/03/2019
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