# BUTLER URGENT MEDICINE

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

## Provider details

- **NPI number:** 1114515392
- **Authorized official:** GAYLE STARK (CREDENTIALING OFFICER)
- **Authorized official phone:** (660) 424-0794

## Contact information

- **Practice address:** 9 N MAIN ST, BUTLER, MO 64730-2135
- **Practice address phone:** (660) 386-7008
- **Practice address fax:** (660) 386-7009
- **Mailing address:** 9 N MAIN ST, BUTLER, MO 64730-2135
- **Mailing address phone:** (660) 386-7008
- **Mailing address fax:** (660) 386-7009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2021
- **Last updated:** 09/26/2024