Individual
TERRICK HARRILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
75 YELLOW CREEK RD, SUITE 102, EVANSTON, WY 82930-5235
(307) 789-8290
(307) 789-8975
Mailing address
1515 N 400 E, SUITE 104, NORTH LOGAN, UT 84341-7561
(435) 757-6061
(435) 994-8362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
P-1294
ID
Other
Enumeration date
09/23/2015
Last updated
10/27/2016
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