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NPI Code Detail

MEDICARE: ROBERT G MERKEL PA-C

MEDICARE: ROBERT G MERKEL PA-C
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
1363A00000XPhysician AssistantPA1004358WA

General Provider Information

NPI Number : 1689620288
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT G MERKEL PA-C
Provider Business Mailing Address
First Line : 201 ALPHA WAY
Second Line :
City : CLE ELUM
State : WA
Zip : 98922-1045
Country : US
Telephone Number : 509-674-5331
Fax Number : 509-674-5034
Provider Business Practice Location Address
First Line : 201 ALPHA WAY
Second Line :
City : CLE ELUM
State : WA
Zip : 98922-1045
Country : US
Telephone Number : 509-674-5331
Fax Number : 509-674-5034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 07/08/2007

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Directions to “ ROBERT G MERKEL PA-C” Practice Location

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