Individual
DAVID OKUBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1995 W 9000 S, WEST JORDAN, UT 84088-9345
(801) 566-9888
(801) 566-9899
Mailing address
1995 W 9000 S, WEST JORDAN, UT 84088-9345
(801) 566-9888
(801) 566-9899
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
167054-1205
UT
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
167054-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107006292101
SELCT MED
UT
01
—
12-00127
UHC
UT
01
—
528801209000
HEALTHWISE
UT
01
—
870392925
PEHP
UT
01
—
QM0000000419
ALTIUS
UT
Enumeration date
04/03/2006
Last updated
07/01/2025
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