Individual
JOSEPH MERCHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16330 S DELGADO RD, SAHUARITA, AZ 85629-8378
(520) 784-8118
Mailing address
16330 S DELGADO RD, SAHUARITA, AZ 85629-8378
(520) 784-8118
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
405891
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405891
—
AZ
Enumeration date
01/21/2009
Last updated
01/21/2009
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