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Bruce Burnham, PHYSICIAN ASSISTANT
NPI 1760695514 · on the registry since 2007
Practice
- Address
- 3152 North University Ave
Suite 120
Provo, UT 84604 - Phone
- (801) 375-2177
- Organisation at this address
- Alpharad Inc
Taylor G Wright Pc
Bluerock Medical Llc
Pamela L. Vincent Md Pc
Blue Rock Neurological LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-12-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah