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Individual

DR. KEITH BARCLAY MERCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 SIERRA COLLEGE DR, SUITE A, GRASS VALLEY, CA 95945-5089
(530) 272-3411
(530) 272-3474
Mailing address
400 SIERRA COLLEGE DR, SUITE A, GRASS VALLEY, CA 95945-5089
(530) 272-3411
(530) 272-3474

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G37695
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G37695
LICENSE NUMBER
CA
05
G376950
CA
05
GR0004680
CA
Enumeration date
10/18/2006
Last updated
01/10/2013
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