Walter D Merritt III M.D.

NPI 1053394643 - Otolaryngology - 207YX0602X

NPI Details
NPI 1053394643
Gender Male
Enumeration Date 11/28/2005
Last Updated 09/11/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
8185 STATE HIGHWAY 789
LANDER WY, 82520-2942, US
Phone (307) 335-7555
Fax (307) 335-7999
Business Location
8185 STATE HIGHWAY 789
LANDER WY, 82520-2942, US
Phone (307) 335-7555
Fax (307) 335-7999
Toxanomy
Taxonomy Code 207YX0602X
License State Idaho
License Number M5753
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According to our database, Dr. Walter D Merritt III M.D. NPI is 1053394643, taxonomy code is 207YX0602X and license number is M5753, license state is located at Idaho. Walter D Merritt III M.D. physically located at 8185 State Highway 789, Lander WY, 82520-2942. NPI Number Walter D Merritt III M.D. has the Individual type.

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1053394643 NPI number is provided on an as is basis without warranty of any kind. 1053394643 is maintained by the National Plan & Provider Enumeration System. The contents of Walter D Merritt III M.D. are for informational purposes only.