Individual
WILLIAM E. MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3221 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1222
(928) 910-7010
(928) 910-7011
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5987
(928) 458-2039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11399
AZ
207R00000X
Internal Medicine Physician
Primary
11399
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11399
AZ LICENSE
AZ
Enumeration date
03/04/2007
Last updated
04/22/2020
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