Provider Demographics
NPI:1073843389
Name:MERKEL, WILLIAM DOYLE (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DOYLE
Last Name:MERKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2525 N 8TH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-8845
Mailing Address - Country:US
Mailing Address - Phone:970-242-9127
Mailing Address - Fax:970-243-8304
Practice Address - Street 1:2525 N 8TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8845
Practice Address - Country:US
Practice Address - Phone:970-242-9127
Practice Address - Fax:970-243-8304
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO16074208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
COD22979Medicare UPIN
CON8118Medicare PIN