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Individual

CHRIS A. MERRYMAN

Active
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Individual

CHRIS A. MERRYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61376697
WA
363AS0400X
Surgical Physician Assistant
Primary
PA61376697
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2232108
WA
Enumeration date
08/25/2020
Last updated
07/18/2023
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