Meridian Family Medicine

LBN: David J Butuk Md Pa
Meridian Family Medicine is an health care organization with primary practice located at 1525 E Leighfield Dr Suite 150, Meridian ID 83646-5371. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. David J Butuk Md Pa can be contacted via phone (208) 888-1199, or through Butuk, David J via phone (208) 888-1199.

Contact Information

Primary practice address
1525 E Leighfield Dr Suite 150 Meridian ID 83646-5371
Phone: (208) 888-1199
Fax: (208) 888-0807
Website:
Map and Directions
Authorized official contact:
Name: Butuk, David J Doctor of Medicine (MD)
Phone: (208) 888-1199

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1710174800
LBN Legal business name David J Butuk Md Pa
DBA Doing business as Meridian Family Medicine
Authorized official Butuk, David J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2007
Last updated Oct 2nd, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710174800 NPPES
Idaho MEDICAID 806698100

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