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Individual

DR. RAPHAEL B. MERRIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109-6978
(415) 600-1000
(415) 558-7051
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-1000
(415) 558-7051

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
070327
CA
207RT0003X
Transplant Hepatology Physician
Primary
070327
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0H4165600
CA
01
A70327
STATE MEDICAL LICENSE
CA
Enumeration date
05/04/2006
Last updated
10/28/2022
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