Healthcare Provider Details

I. General information

NPI: 1932272598
Provider Name (Legal Business Name): DAVID E BUTTERS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 W ANTELOPE DR STE 200
LAYTON UT
84041-1200
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 801-773-4770
  • Fax: 801-773-4776
Mailing address:
  • Phone: 720-579-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number6591024
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: