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NPI Code Detail

MEDICARE: DR. JOHN ANDREW MERKLEY AU.D., CCC-A, CPS/A

MEDICARE:  DR. JOHN ANDREW MERKLEY  AU.D., CCC-A, CPS/A
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
1231H00000XAudiologist51310TX

General Provider Information

NPI Number : 1801885793
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN ANDREW MERKLEY AU.D., CCC-A, CPS/A
Provider Business Mailing Address
First Line : 1650 COCHRANE CIR
Second Line : ATTN; MAJ JOHN A. MERKLEY
City : COLORADO SPRINGS
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 719-526-6976
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR
Second Line : ATTN; MAJ JOHN A. MERKLEY
City : COLORADO SPRINGS
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 719-526-6976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 07/02/2013

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