MEDICARE: DEBORAH K DAVIS-MERRITT 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
1	208600000X	Surgery Physician	24921	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00190583	OTHER		MEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number	:	1003843012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH K DAVIS-MERRITT MD

Provider Business Mailing Address
First Line	:	2420 W 26TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-5301
Country	:	US
Telephone Number	:	303-318-2250
Fax Number	:	303-318-2252

Provider Business Practice Location Address
First Line	:	1960 OGDEN ST STE 400
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-3670
Country	:	US
Telephone Number	:	303-318-1510
Fax Number	:	303-318-2481

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	01/25/2012

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