Individual
DR. BRANT MATTHEW BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
828 S 1040 W, PAYSON, UT 84651-4614
(801) 980-9444
(801) 224-5204
Mailing address
828 S 1040 W, PAYSON, UT 84651-4614
(801) 980-9444
(801) 224-5204
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
006775
NY
213E00000X
Podiatrist
Primary
11327341-0501
UT
Other
Enumeration date
03/24/2016
Last updated
12/10/2019
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