Provider Demographics
NPI:1255690442
Name:MERKLEY, TAYLOR (MD)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:
Last Name:MERKLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 E MEDICAL CENTER DR STE 3100
Mailing Address - Street 2:SAINT GEORGE
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-2135
Mailing Address - Country:US
Mailing Address - Phone:435-251-2740
Mailing Address - Fax:
Practice Address - Street 1:1380 E MEDICAL CENTER DR STE 3100
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-2135
Practice Address - Country:US
Practice Address - Phone:435-251-2740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9307520-1205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics