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NPI Code Detail

MEDICARE: YOON JU KIM-BUTTERFIELD MD

MEDICARE:   YOON JU  KIM-BUTTERFIELD  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician11802960-1205UT

General Provider Information

NPI Number : 1760649560
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOON JU KIM-BUTTERFIELD MD
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3723 W 12600 S
Second Line :
City : RIVERTON
State : UT
Zip : 84065-7295
Country : US
Telephone Number : 801-507-4384
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2008
Last Update Date : 12/01/2025

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Directions to “ YOON JU KIM-BUTTERFIELD MD” Practice Location

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