Individual
JAMES LYNN BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
150 S STATE ST, CLEARFIELD, UT 84015-1045
(801) 825-0134
(801) 773-1247
Mailing address
150 S STATE ST, CLEARFIELD, UT 84015-1045
(801) 825-0134
(801) 773-1247
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
320245-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261701971
TAX ID
—
Enumeration date
01/08/2008
Last updated
04/20/2018
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