Provider Demographics
NPI:1073596003
Name:MERZ, GUY F (DO)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:F
Last Name:MERZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5224 W PARK VIEW LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85310-2916
Mailing Address - Country:US
Mailing Address - Phone:623-780-0570
Mailing Address - Fax:
Practice Address - Street 1:13660 N 94TH DR STE C4
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4841
Practice Address - Country:US
Practice Address - Phone:623-266-1722
Practice Address - Fax:623-266-1746
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2710207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ860373636OtherHUMANA GROUP
AZAZ0728670OtherBLUE CROSS BLUE SHIELD
AZ331372Medicaid
AZAZ0728670OtherBLUE CROSS BLUE SHIELD
F09139Medicare UPIN