Individual
DR. CHARLES R. MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 739-3200
(805) 739-3064
Mailing address
PO BOX 660580, ARCADIA, CA 91066-0580
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G39667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G396670
—
CA
Enumeration date
07/05/2006
Last updated
11/17/2008
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