Individual
MR. CLINT EARL MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
720 LINDSAY LN, SUITE C, CODY, WY 82414-4103
(307) 578-2180
(307) 578-2181
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
459
WY
Other
Enumeration date
09/22/2008
Last updated
10/05/2020
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