Healthcare Provider Details

I. General information

NPI: 1245260124
Provider Name (Legal Business Name): DAVID H WARBY DPM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 07/02/2024
Certification Date: 07/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 N CHURCH ST STE 303
LAYTON UT
84040-6590
US

IV. Provider business mailing address

934 S MAIN ST
LAYTON UT
84041-4250
US

V. Phone/Fax

Practice location:
  • Phone: 801-544-9441
  • Fax: 801-771-7140
Mailing address:
  • Phone: 801-544-4227
  • Fax: 801-544-3724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number5092396-0501
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID H WARBY
Title or Position: OWNER
Credential: DPM
Phone: 801-544-9441