Jordan W Merrill, MD Valid NPI

Individual provider · Psychiatry Physician · Eagle, ID

NPI

1902197007

Type

Individual (Type 1)

Primary specialty

Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0800X

License number

M-13001 (ID)

Sex

Male

Sole proprietor

No

Enumerated

2011-04-22

Last updated

2021-11-22