Individual
RICHARD MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042-0011819
VT
207P00000X
Emergency Medicine Physician
7881
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104375Y0NH01
BLUE CROSS BLUE SHIELD
NH
01
—
19122
BLUE CROSS BLUE SHIELD
VT
05
—
3075605
—
NH
01
—
541411
CIGNA HEALTHCARE
NH
01
—
E11292
HARVARD PILGRIM HEALTH
NH
05
—
ORE0315
—
VT
Enumeration date
06/09/2006
Last updated
09/02/2014
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