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Organization
THE SMART CLINIC
Active
Organization
THE SMART CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCI MERRILL (BILLING MANAGER)
(801) 676-7627
Entity
Organization
Contact information
Practice address
4518 N. FOREST DALE DRIVE, SUITE I-53, PARK CITY, UT 84098
(801) 676-7627
(801) 676-7629
Mailing address
P.O. BOX 900280, SANDY, UT 84090
(801) 676-7627
(801) 676-7629
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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