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1174509129
TED H BURNINGHAM
LAYTON, UT
NPI
1174509129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 2758781205)
Enumeration Date
2005-12-21
Last Update Date
2012-08-02
Business Address
-- TED H BURNINGHAM MD
2121 N 1700 W
LAYTON, UT 84041-8803
Phone number: 801-773-4840
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Mailing Address
-- TED H BURNINGHAM MD
PO BOX 337
LAYTON, UT 84041-0337
Phone number: 801-773-4840
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