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NPI Code Detail

MEDICARE: WILLIAM FRANK MERKLE PH.D.

MEDICARE: WILLIAM FRANK MERKLE PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist1105NM
2103TC0700XClinical Psychologist1937CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215910591
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM FRANK MERKLE PH.D.
Provider Business Mailing Address
First Line : 1206 HWY 94
Second Line :
City : MORA
State : NM
Zip : 87732
Country : US
Telephone Number : 505-454-2457
Fax Number :
Provider Business Practice Location Address
First Line : 3695 HOT SPRINGS BLVD
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-9549
Country : US
Telephone Number : 505-454-2457
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 01/26/2010

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