Mervin Dale Terrell M.D.

NPI 1043202856 - Internal Medicine - 207RG0300X

NPI Details
NPI 1043202856
Gender Male
Enumeration Date 08/17/2005
Last Updated 06/25/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
4747 DUSTY LAKE DR
SUITE 101
PINE BLUFF AR, 71603-8742, US
Phone (870) 541-7188
Fax (870) 541-7191
Business Location
4747 DUSTY LAKE DR
SUITE 101
PINE BLUFF AR, 71603-9057, US
Phone (870) 541-7188
Fax (870) 541-7191
Toxanomy
Taxonomy Code 207RG0300X
License State Arkansas
License Number E3820
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According to our database, Dr. Mervin Dale Terrell M.D. NPI is 1043202856, taxonomy code is 207RG0300X and license number is E3820, license state is located at Arkansas. Mervin Dale Terrell M.D. physically located at 4747 Dusty Lake Dr, Pine Bluff AR, 71603-8742. NPI Number Mervin Dale Terrell M.D. has the Individual type.

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1043202856 NPI number is provided on an as is basis without warranty of any kind. 1043202856 is maintained by the National Plan & Provider Enumeration System. The contents of Mervin Dale Terrell M.D. are for informational purposes only.