Individual
DR. MARTIN RICHARD BUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DEPARTMENT OF GENERAL SURGERY, 30 N. 1900 E., 3B324 SOM, SALT LAKE CITY, UT 84132-0001
(801) 581-6803
Mailing address
DEPARTMENT OF GENERAL SURGERY, 30 N. 1900 E., 3B324 SOM, SALT LAKE CITY, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9790375-8905CS
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2010
Last updated
10/14/2019
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