Individual
DR. STEPHANIE I MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2075 UNIVERSITY PARK BLVD, LAYTON, UT 84041-1611
(801) 779-6200
(801) 475-1621
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 779-6200
(801) 475-1621
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2007013531
MO
208000000X
Pediatrics Physician
54878-020
WI
208000000X
Pediatrics Physician
Primary
8133411-1205
UT
Other
Enumeration date
06/28/2007
Last updated
08/02/2021
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