Most Relevant Information
Provider Data
| NPI Number: | 1003402371 |
| Provider Name: | AUDYANNA MERRICK ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | ATR-009273 |
Most Important Dates
| Enumeration Date: | 12/21/2020 |
| Last Updated: | 12/21/2020 |
Provider Practice Location
3300 W CAMELBACK RD
PHOENIX
AZ
850171097
Practice Location Phone/Fax
| Phone: | 8554285673 |
| Fax: |
Provider Mailing Location
1362 E PARK AVE
GILBERT
AZ
852341028
Provider Mailing Phone/Fax
| Phone: | 4356325328 |
| Fax: |