ETHAN PATRICK BAHAM

LAYTON, UT
NPI1740635556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  11217835-1204)
Enumeration Date2016-04-29
Last Update Date2019-07-01
Business Address
ETHAN PATRICK BAHAM DO
2121 N 1700 W
LAYTON, UT 84041-8803
Phone number: 801-773-4840
Mailing Address
ETHAN PATRICK BAHAM DO
PO BOX 337
LAYTON, UT 84041-0337
Phone number: 801-773-4840
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