# THE SMART CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477269199
- **Authorized official:** MARCI MERRILL (BILLING MANAGER)
- **Authorized official phone:** (801) 676-7627

## Contact information

- **Practice address:** 4518 N. FOREST DALE DRIVE, SUITE I-53, PARK CITY, UT 84098
- **Practice address phone:** (801) 676-7627
- **Practice address fax:** (801) 676-7629
- **Mailing address:** P.O. BOX 900280, SANDY, UT 84090
- **Mailing address phone:** (801) 676-7627
- **Mailing address fax:** (801) 676-7629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2023
- **Last updated:** 01/26/2023