Dr. Anthony Ivan Beutler, MD
Family Medicine, Sports Medicine in Provo, UT. Individual provider (NPI-1).
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 11282296-1205 | UT | Yes |
| 207QS0010X | Family Medicine, Sports Medicine | 01052416a | IN |
Practice location
1157 N 300 W Ste 201Provo, UT 84604-6124
Phone 801-357-1200
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
Other practice locations
4301 Jones Bridge Road
Fap/A-1038/Uniformed Services University
Bethesda, MD 20814-4712
Fap/A-1038/Uniformed Services University
Bethesda, MD 20814-4712
Phone 301-295-3632 · Fax 301-295-3100
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