Provider Demographics
NPI:1568517480
Name:MERRIFIELD, MARGARET K (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:K
Last Name:MERRIFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:K
Other - Last Name:MERRIFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-0460
Mailing Address - Country:US
Mailing Address - Phone:509-628-3060
Mailing Address - Fax:509-628-3024
Practice Address - Street 1:4960 RAU ST
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-7829
Practice Address - Country:US
Practice Address - Phone:509-628-3060
Practice Address - Fax:509-628-3024
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00031118207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAB37102Medicare PIN