# MICHAEL L BUTERA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013016112
- **Authorized official:** DR. MICHAEL LAWRENCE BUTERA M.D. (PRESIDENT)
- **Authorized official phone:** (619) 286-8803

## Contact information

- **Practice address:** 6699 ALVARADO RD STE 2309, SAN DIEGO, CA 92120-5241
- **Practice address phone:** (619) 286-8803
- **Practice address fax:** (619) 286-2344
- **Mailing address:** PO BOX 1009, SPRING VALLEY, CA 91979-1009
- **Mailing address phone:** (619) 508-0908
- **Mailing address fax:** (619) 693-3242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 04/17/2023