Doctor Name: | DR. HUGH RUSSELL MERHOFF |
NPI Number: | 1861650871 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | AFE 17470 |
Business Practice Address: | 14210 Adobe Ct Red Bluff, CA - 960809390 |
Business Phone Number: | 5305271037 |
Business Fax Number: | |
Mailing Address: | 14210 Adobe Ct, RED BLUFF |
State: | CA |
Postal Code: | 960809390 |
Phone Number: | 5305271037 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2008 |
NPI Last Update Date: | 05/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | AFE 17470 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |