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Organization

ROBERT E. MERRICK PC

Active
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Organization

ROBERT E. MERRICK PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PHILILP L BEGLEY (DIRECTOR REVENUE CYCLE MANAGEMENT)
(217) 223-8400
Entity
Organization

Contact information

Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 223-9945
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 223-9945

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RAILROAD MEDICARE
CB0102
HI
Enumeration date
04/06/2007
Last updated
01/14/2008
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