Individual
DR. PETER COLE MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2163 W ORANGE GROVE RD, TUCSON, AZ 85741-3118
(520) 575-0800
(520) 575-0093
Mailing address
2163 W ORANGE GROVE RD, TUCSON, AZ 85741-3118
(520) 575-0800
(520) 575-0093
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0705
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699099978
BCBS
AZ
01
—
3Z4231
HEALTHNET
AZ
05
—
519694
—
AZ
01
—
OP00857000
MEDICARE RR
AZ
Enumeration date
03/16/2010
Last updated
12/10/2012
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