Individual
THOMAS GORDON MERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1649 LUCERNE ST, STE A & B, MINDEN, NV 89423-4369
(775) 782-1603
(775) 782-3417
Mailing address
1520 VIRGINIA RANCH RD, GARDNERVILLE, NV 89410-5731
(775) 782-1550
(775) 782-1513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7634
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002003030
—
NV
05
—
003103030
—
NV
Enumeration date
02/15/2006
Last updated
04/22/2009
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