Individual
CHARLES S MERRIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1531 ESPLANADE, CHICO, CA 95926-3310
(530) 332-6337
(530) 893-6936
Mailing address
1531 ESPLANADE, CHICO, CA 95926-3310
(530) 332-6337
(530) 893-6936
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G078364
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G783640
—
CA
01
—
P00314398
MEDICARE RAILROAD
CA
Enumeration date
08/08/2006
Last updated
07/08/2007
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