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DAVID J. BUTUK, M.D., P.A.

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Company Details

Name: DAVID J. BUTUK, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 27 Aug 2003 (22 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 458131
Place of Formation: IDAHO
File Number: 458131
ZIP code: 83646
County: Ada County
Mailing Address: STE 150 1525 E LEIGHFIELD DR MERIDIAN, ID 83646-7748

Agent

Name Role Address
DAVID J BUTUK Agent 1525 E LEIGH FIELD DR #150, MERIDIAN, ID 83646

Director

Name Role Address Appointed On
Yvette Butuk Director 2102 E. HANDEL CT, MERIDIAN, ID 83646 2020-08-06

National Provider Identifier

NPI Number:
1710174800

Authorized Person:

Name:
DAVID J BUTUK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2088880807

Filing

Filing Name Filing Number Filing date
Annual Report 0005891976 2024-09-06
Annual Report 0005300736 2023-07-03
Annual Report 0004803473 2022-07-05
Annual Report 0004367758 2021-08-03
Annual Report 0003961631 2020-08-06

Paycheck Protection Program

Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
220000
Current Approval Amount:
220000
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
221687.67

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State