BRUCE MCCLANAHAN BURNHAM

PROVO, UT
NPI1760695514
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  1033258906)
Enumeration Date2007-05-08
Last Update Date2013-12-27
Business Address
Mr. BRUCE MCCLANAHAN BURNHAM Physician Assistant
3152 NORTH UNIVERSITY AVE SUITE 120
PROVO, UT 84604
Phone number: 801-375-2177
Mailing Address
Mr. BRUCE MCCLANAHAN BURNHAM Physician Assistant
11119 S PRESCOTT PARK CIR
SANDY, UT 84092-5098
Phone number: 801-562-0058
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