Individual
JOSEPH MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1055 N 300 W STE 410, PROVO, UT 84604-3354
(367) 580-1616
Mailing address
1055 N 300 W STE 410, PROVO, UT 84604-3354
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
12844618-4810
UT
Other
Enumeration date
05/18/2022
Last updated
05/23/2022
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