JACOB JEFFREY MERRELL M.D.
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1265676381- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 419 S WASHINGTON ST STE 101, CASPER, WY, 826012991
- Phone
- (307) 265-1620
- Fax
- (307) 237-1074
Specialties & Taxonomies
Radiology, Diagnostic Radiology
License: CO #CDR.0000559
Radiology, Diagnostic Radiology
License: MT #80403
Radiology, Diagnostic Radiology
Primary License: WY #9878A