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Individual

DR. CHARLES S MERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1409 S LAMAR ST APT 705, DALLAS, TX 75215-6839
(561) 723-4235
(972) 913-4371
Mailing address
1409 S LAMAR ST APT 705, DALLAS, TX 75215-6839
(561) 723-4235
(972) 913-4371

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
56773
FL
207L00000X
Anesthesiology Physician
A47852
CA
207Q00000X
Family Medicine Physician
Primary
A47852
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
56773
FL

Other

Enumeration date
07/26/2006
Last updated
04/01/2020
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