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NPI Code Detail

MEDICARE: ALEC JADE MERKLEY

MEDICARE: ALEC JADE MERKLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker14289022-3502UT

General Provider Information

NPI Number : 1962054650
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEC JADE MERKLEY
Provider Business Mailing Address
First Line : 5282 S COMMERCE DR STE D110
Second Line :
City : MURRAY
State : UT
Zip : 84107-5324
Country : US
Telephone Number : 385-881-0170
Fax Number : 385-212-3234
Provider Business Practice Location Address
First Line : 5965 S 900 E STE 100
Second Line :
City : MURRAY
State : UT
Zip : 84121-1850
Country : US
Telephone Number : 801-872-5516
Fax Number : 801-212-9942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2019
Last Update Date : 06/04/2026

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Directions to “ ALEC JADE MERKLEY ” Practice Location

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