Individual
DR. THOMAS LLEWELLYN MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 NW RICHMOND BEACH RD, SHORELINE, WA 98177-3101
(206) 546-5181
(206) 546-6575
Mailing address
355 NW RICHMOND BEACH RD, SHORELINE, WA 98177-3101
(206) 546-5181
(206) 546-6575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0017815
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017185
WA STATE MD LICENSE #
WA
01
—
0106233
MEDICARE WA
WA
01
—
96822
WASHINGTON L&I
WA
Enumeration date
02/06/2007
Last updated
03/27/2012
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