IndividualActive
Clint Merritt, P.A.-C
NPI 1659521144 · Physician Assistant · Cody, WY
Provider details
- NPI number
- 1659521144
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Male
- Sole proprietor
- No
- License
- 459 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
720 Lindsay Ln
Suite C
Cody, WY 82414-4103
Phone: (307) 578-2180
Fax: (307) 578-2181
Approximate (ZIP-level) locationGet directions
Mailing address
707 Sheridan Ave
Cody, WY 82414-3409
Registry dates
- Enumerated
- 2008-09-22
- Last updated
- 2020-10-05
- Certified
- 2020-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.