Individual
JOHN BURNETT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
295 S CHIPETA WAY STE 22, SALT LAKE CITY, UT 84108-1234
(775) 287-6436
Mailing address
295 S CHIPETA WAY STE 22, SALT LAKE CITY, UT 84108-1234
(775) 287-6436
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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