Phillip Merrell
Oral and Maxillofacial Pathology
2155 Wester Street
San Francisco
, California 94115
Phillip Merrell
Oral and Maxillofacial Pathology
2155 Wester Street
San Francisco
, California 94115
(805) 578-8950
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Phillip Merrell
- Po Box 10076
- Van Nuys, CA
- Zip : 91410-0076
- Fax : (805) 578-8950
- Phone : (805) 578-8300
Second Address
- Phillip Merrell
- 2155 Wester Street
- San Francisco, CA
- Zip : 94115
- Phone : (415) 929-6572
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | SP156 | CA |
National Provider Identifier
| NPI | 1316974454 |
|---|---|
| Provider Name | Phillip Merrell |
| First Address | Van Nuys, CA 91410-0076 |
| Second Address | San Francisco, CA 94115 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| LAB64366F | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.