Individual provider · Type 1 NPI
Raymond Gene Merrill, PA-C
Medical Physician Assistant · Draper, UT
NPI number
1780982629
Active
Practice location
14425 Bitterbrush Lane
Draper, UT 84020
Fax (801) 576-4053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 275272-1206 (UT) |
Medical Physician Assistant: Definition to come...
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About NPI 1780982629
Raymond Gene Merrill, PA-C's National Provider Identifier is 1780982629, issued on Mar 2, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Draper, UT. The record was last updated on Mar 2, 2011.