Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 46295 | CO |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 57006963 | OH |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 46295 | CO |
NPI | 1134330434 |
---|---|
Provider Name | James Allyn Merrell |
First Address | Grand Junction, CO 81506 |
Second Address | Grand Junction, CO 81506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 13/06/2012 |