JORDAN W MERRILL

EAGLE, ID
NPI1902197007
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: ID  M-13001)
Enumeration Date2011-04-22
Last Update Date2021-11-22
Business Address
JORDAN W MERRILL MD
1032 S. BRIDGEWAY PL. STE 110
EAGLE, ID 83616
Phone number: 208-475-0800
Mailing Address
JORDAN W MERRILL MD
1032 S. BRIDGEWAY PL. STE 110
EAGLE, ID 83616
Phone number: 208-475-0800
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