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MR. BRUCE MCCLANAHAN BURNHAM PHYSICIAN ASSISTANT NPI 1760695514


NPI Information

NPI: 1760695514
Provider Name: MR. BRUCE MCCLANAHAN BURNHAM, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
3152 NORTH UNIVERSITY AVE
SUITE 120
PROVO, UT
ZIP 84604
Phone: (801) 375-2177
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MR. Bruce Mcclanahan Burnham, PHYSICIAN ASSISTANT is a physician assistant in Provo, UT. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MR. Bruce Mcclanahan Burnham, PHYSICIAN ASSISTANT NPI is 1760695514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3152 NORTH UNIVERSITY AVE
SUITE 120
PROVO, UT
ZIP 84604
Phone: (801) 375-2177

The enumeration date for this NPI number is 5/8/2007 and was last updated on 12/27/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant1033258906UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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