Provider Demographics
NPI:1912949421
Name:WARBY, DAVID H (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:H
Last Name:WARBY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 N CHURCH ST STE 303
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84040-6590
Mailing Address - Country:US
Mailing Address - Phone:801-544-9441
Mailing Address - Fax:801-771-7140
Practice Address - Street 1:2950 N CHURCH ST STE 303
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84040-6590
Practice Address - Country:US
Practice Address - Phone:801-544-9441
Practice Address - Fax:801-771-7140
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5092396-0501213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU97836Medicare UPIN
UTP00326867Medicare PIN
UT000058221Medicare PIN