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Individual

DR. SCOT H MERRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 PARNASSUS AVE, SUITE 150, SAN FRANCISCO, CA 94143-0001
(415) 353-1606
(415) 353-1312
Mailing address
1635 DIVISADERO ST, STE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G45518
CA
2086S0102X
Surgical Critical Care Physician
G45518
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
G45518
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G455180
CA
Enumeration date
04/14/2006
Last updated
06/12/2008
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