Individual
WARD MERKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 E 'D' STREET, DEER PARK, WA 99006-0742
(509) 276-5061
(509) 276-8713
Mailing address
910 N WASHINGTON ST, SUITE 209, SPOKANE, WA 99201-2202
(509) 232-1173
(509) 232-1165
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
AM1108114
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7086051
—
WA
05
—
8124504
—
WA
05
—
8124505
—
WA
01
—
G000362000
MEDICARE GROUP
WA
01
—
GAB02213
MEDICARE GROUP
WA
Enumeration date
01/11/2007
Last updated
12/10/2007
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