Search › Arizona › 363AS0400X

Clyde Merrill, PA-C

NPI 1497910533 · on the registry since 2008 · sole proprietor

Practice

Address
2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone
(480) 256-6444
Fax
(480) 256-4734
Organisation at this address
Banner Pharmacy Services Llc
Banner Pharmacy Services Llc
Banner Pharmacy Services Llc
Banner Gateway Medical Center
Banner Thunderbird Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
209

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363AS0400X
363AS0400X
Licence states on file
WV, AZ, OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona