Individual provider · NPI-1

Bethany E. Burr, MD

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine · Salt Lake City, UT

NPI number1871237172
StatusActive
Last updated in NPPESSep 10, 2024

Details

NPI
1871237172
Entity type
Individual (NPI-1)
Name
Bethany E. Burr
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 22, 2022
Certification date
Sep 10, 2024
Last updated
Sep 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine14141189-1205UTYes

Practice location

65 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125

Phone 801-581-2121

Mailing address

65 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125

Phone 801-581-2121

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