Individual
TREVOR SCOTT BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
395 W COUGAR BLVD STE 101, PROVO, UT 84604-3334
(801) 357-8156
Mailing address
5848 S FASHION BLVD STE 110, SALT LAKE CITY, UT 84107-6175
(801) 314-4188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10217377-1206
UT
Other
Enumeration date
02/04/2017
Last updated
09/13/2022
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