Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A105394 | CA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | A105394 | CA |
NPI | 1124233820 |
---|---|
Provider Name | Dr. Merlin J Hamer |
First Address | San Diego, CA 92127-5705 |
Second Address | La Jolla, CA 92037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 13/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200869890 | (05) | IN |