Individual provider · Type 1 NPI

Anthony Ivan Beutler, MD

Sports Medicine (Family Medicine) Physician · Provo, UT

NPI number 1609957778 Active

Practice location

1157 N 300 W Ste 201
Provo, UT 84604-6124

Call (801) 357-1200 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

4301 Jones Bridge Road, FAP/A-1038/UNIFORMED Services University, Bethesda, MD 20814-4712 · (301) 295-3632

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Family Medicine) Physician	207QS0010X	01052416A (IN)
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	11282296-1205 (UT)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1609957778

Anthony Ivan Beutler, MD's National Provider Identifier is 1609957778, issued on Oct 17, 2006. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Provo, UT. The record was last updated on May 1, 2026.