| Doctor Name: | DR. WALTER D MERRITT |
| NPI Number: | 1053394643 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | M5753 |
| Business Practice Address: | 8185 State Highway 789 Lander, WY - 825202942 |
| Business Phone Number: | 3073357555 |
| Business Fax Number: | 3073357999 |
| Mailing Address: | 8185 State Highway 789, LANDER |
| State: | WY |
| Postal Code: | 825202942 |
| Phone Number: | 3073357555 |
| Fax Number: | 3073357999 |
| NPI Enumeration Date: | 11/28/2005 |
| NPI Last Update Date: | 09/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0602X |
| License Number: | M5753 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngic Allergy |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |