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NPI Code Detail

MEDICARE: ROBERT DON MERRILL DO

MEDICARE:   ROBERT DON MERRILL  DO
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
1207V00000XObstetrics & Gynecology Physician5583587-1204UT
2207V00000XObstetrics & Gynecology PhysicianPENDINGNV
3208D00000XGeneral Practice PhysicianDO3051NV

General Provider Information

NPI Number : 1669491031
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT DON MERRILL DO
Provider Business Mailing Address
First Line : 2615 W DRY CREEK DR
Second Line :
City : RIVERTON
State : UT
Zip : 84065-6768
Country : US
Telephone Number : 801-995-9933
Fax Number :
Provider Business Practice Location Address
First Line : 517 ROSE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4020
Country : US
Telephone Number : 702-438-4692
Fax Number : 702-485-2372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 03/11/2022

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Directions to “ ROBERT DON MERRILL DO” Practice Location

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