Doctor Name: | DAVID KEITH MERRIFIELD |
NPI Number: | 1326350026 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CSA |
License Number: | |
Business Practice Address: | Contant 11-3kb St Thomas, VI - 00802 |
Business Phone Number: | 3407743003 |
Business Fax Number: | 3407763029 |
Mailing Address: | Po Box 10825, Contant 11-3kb, Stt, Vi 00802 CHARLOTTE AMALIE |
State: | VI |
Postal Code: | 008013825 |
Phone Number: | 3409983084 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2010 |
NPI Last Update Date: | 05/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |