Provider Demographics
NPI:1679616650
Name:ROCKWELL, MERRIE HERBIG (DO, MPH)
Entity Type:Individual
Prefix:
First Name:MERRIE
Middle Name:HERBIG
Last Name:ROCKWELL
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 EUBANK AVE, NE
Mailing Address - Street 2:SANDIA NATIONAL LABORATORIES, MS 1019
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123
Mailing Address - Country:US
Mailing Address - Phone:505-845-9025
Mailing Address - Fax:
Practice Address - Street 1:1515 EUBANK AVE, NE
Practice Address - Street 2:SANDIA NATIONAL LABORATORIES, MS 1019
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87123
Practice Address - Country:US
Practice Address - Phone:505-845-9025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA-691-19782083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine