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Individual

DR. DAVID N MERRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
24017 104TH AVE SE, KENT, WA 98030-4975
(253) 854-0400
(253) 854-0404
Mailing address
6220 E LAKE SAMMAMISH PKWY SE, STE A, ISSAQUAH, WA 98029-8925
(253) 854-0400
(253) 854-0404

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH2544
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103339
L&I
WA
01
91-2048442
TAX ID
WA
Enumeration date
03/28/2007
Last updated
05/18/2017
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