Individual provider · NPI-1

Dr. Anthony Ivan Beutler, MD

Family Medicine, Sports Medicine · Provo, UT

NPI number1609957778
StatusActive
Last updated in NPPESMay 1, 2026

Details

NPI
1609957778
Entity type
Individual (NPI-1)
Name
Dr. Anthony Ivan Beutler
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 17, 2006
Certification date
May 1, 2026
Last updated
May 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QS0010X Family Medicine, Sports Medicine11282296-1205UTYes
207QS0010X Family Medicine, Sports Medicine01052416aIN

Practice location

1157 N 300 W Ste 201
Provo, UT 84604-6124

Phone 801-357-1200

Mailing address

Po Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

4301 Jones Bridge Road
Fap/A-1038/Uniformed Services University
Bethesda, MD 20814-4712

Phone 301-295-3632 · Fax 301-295-3100

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