Evan C. Merrill DPM
Foot Surgery Podiatrist in Medford, OR(View on Map)
Full Name
Evan Chard Merrill DPM
NPI Number
1528166485
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/21/2006
Specialties
(Taxonomies)Licenses
State
Oregon
License Number
DP00312
Contact
Information
Purpose
Mailing
Location
Address
1904 E BARNETT RD
1904 E BARNETT RD
City
Medford
Medford
State
OR
OR
Postal Code
97504-8262
97504-8262
Country
US
US
Telephone Number
(541) 776-3338
(541) 776-3338
Identifiers
Identifier
297199
891269001
Identifier State
OR
OR
Identifier Issuer
Unknown
BLUE CROSS PROVIDER NUMBE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/16/2020