Individual
RAYMOND GENE MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14425 BITTERBRUSH LANE, DRAPER, UT 84020
(801) 576-7119
(801) 576-4053
Mailing address
14425 BITTERBRUSH LANE, DRAPER, UT 84020
(801) 576-7119
(801) 576-4053
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
275272-1206
UT
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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