Mitch Clay Merrill, O.D.

NPI #1518631282 in Rexburg, Idaho

Provider Information

NPI Number: 1518631282
Entity Type: Individual
Name: Mitch Clay Merrill, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 5, 2021
Last Updated: Aug 20, 2021

Practice Location

Address: 74 E 1ST S
City: Rexburg
State: Idaho
ZIP Code: 83440-1936
Phone: (208) 356-6911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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