Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Bruce McClanahan Burnham, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1760695514

Mr. Bruce McClanahan Burnham, PHYSICIANASSISTANT is a Physician Assistant in Provo, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007

Practice location Address checks out

3152 N University Ave Ste 120
Provo, UT 84604
Phone: (801) 375-2177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1033258906 (UT)

Record details

NPI number1760695514
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESDecember 27, 2013

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