Individual
BRADLEY CHARLES BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1159 E 200 N STE 300, AMERICAN FORK, UT 84003-2037
(801) 965-3600
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8813502-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
8813502-1206
UT
Other
Enumeration date
11/04/2013
Last updated
01/21/2025
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