Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 20A16746 | CA |
N | 208800000X | Urologist | 34011414 | OH |
N | 208800000X | Urologist | P4980 | TX |
NPI | 1003949561 |
---|---|
Provider Name | Dr. Megan Marie Merrill |
First Address | Columbus, OH 43202-1559 |
Second Address | Sacramento, CA 95823-4671 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 17/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0106599 | (05) | OH |
316715701 | (05) | TX |