Individual
STEPHANIE MERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(610) 574-0654
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A177919
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A177919
CA
Other
Enumeration date
04/21/2019
Last updated
07/19/2024
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