person
Dr. Clinton Franklin Merrill JR., MD
Hematology & Oncology Physician in Lander, Wyoming
NPI 1992707285

Clinton Franklin Merrill JR. is a Hematology & Oncology Physician based in Lander, WY and is specialized in Hematology & Oncology. Clinton Franklin Merrill JR. practices in Lander, WY and has the professional credentials of MD. The NPI Number for Clinton Franklin Merrill JR. is 1992707285 and holds a License No. 3277A (Wyoming).

The current practice location address for Clinton Franklin Merrill JR. is 15 Shrine Club Rd, Lander, WY and can be reached out via phone at 307-332-0324 and via fax at 307-332-0382. You can also correspond with Clinton Franklin Merrill JR. through the mailing address at 15 SHRINE CLUB RD, LANDER, WY - 82520-8501 (mailing address contact number: 307-332-0324).

Location: 15 Shrine Club Rd, Lander, WY, 82520-8501
person
Provider Profile Details
NPI Number
1992707285
Provider Name
Clinton Franklin Merrill JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 Shrine Club Rd, Lander, WY, 82520-8501
Phone Number
307-332-0324
Fax Number
307-332-0382
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3277A 01 WY WYOMING MEDICAL LICENSE
10025668100 05 NE
141495000 05 WY
63235552 05 CO
311538 01 WY BCBS
W27189 01 WY MEDICARE PTAN (WY)
institution
Provider Business Practice Location Address Details
Address
15 Shrine Club Rd
City
State
Zip
82520-8501
Phone Number
307-332-0324
Fax Number
307-332-0382
person
Provider Business Mailing Address Details
Address
15 Shrine Club Rd
City
State
Zip
82520-8501
Phone Number
307-332-0324
Fax Number
307-332-0382
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
3277A (Wyoming)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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