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NPI Code Detail

MEDICARE: DR. JAMES MERCER MD

MEDICARE:  DR. JAMES  MERCER  MD
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
1207P00000XEmergency Medicine Physician000-17362WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18906025OTHERCRIME VICTIMS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3ME0150OTHERREGENCE BS
4910861251OTHERPREMERA BC
5168564OTHERWA L & I
6A09424OTHERGROUP HEALTH
7A005OTHERCHAMPUS

General Provider Information

NPI Number : 1679515647
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES MERCER MD
Provider Business Mailing Address
First Line : PO BOX 34936
Second Line : DEPT 3028
City : SEATTLE
State : WA
Zip : 98124-1936
Country : US
Telephone Number : 888-398-2473
Fax Number :
Provider Business Practice Location Address
First Line : 21601 76TH AVE W
Second Line :
City : EDMONDS
State : WA
Zip : 98026-7507
Country : US
Telephone Number : 425-640-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 05/26/2009

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Directions to “ DR. JAMES MERCER MD” Practice Location

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