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Individual

RAYMOND WELDON MERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
025209MD00018258
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881408
WA
01
340010369
RAILROAD MEDICARE PIN
WA
01
340011806
RAILROAD MEDICARE PIN
WA
Enumeration date
09/29/2005
Last updated
06/02/2016
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