Individual
DR. PAUL GLENN MERCHANT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45825 E STATE HIGHWAY 96, PUEBLO, CO 81006-9330
(719) 549-5483
Mailing address
4737 BELLA COLLINA CT, COLORADO SPRINGS, CO 80906-7510
(719) 337-8771
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
37900
NC
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
0053139
CO
Other
Enumeration date
07/19/2006
Last updated
05/18/2022
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