Provider Demographics
NPI:1598999336
Name:BRITTON, CORY LANNING III (PA)
Entity Type:Individual
Prefix:MR
First Name:CORY
Middle Name:LANNING
Last Name:BRITTON
Suffix:III
Gender:M
Credentials:PA
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Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84011-0307
Mailing Address - Country:US
Mailing Address - Phone:801-294-6907
Mailing Address - Fax:801-294-6917
Practice Address - Street 1:1950 E 7000 S
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-6894
Practice Address - Country:US
Practice Address - Phone:801-943-3300
Practice Address - Fax:801-943-3461
Is Sole Proprietor?:No
Enumeration Date:2009-05-07
Last Update Date:2010-01-28
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Provider Licenses
StateLicense IDTaxonomies
UT100638-1206363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant