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Individual
MARK J BUTLER
Active
Individual
MARK J BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19177
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00210
BCBS
NE
01
—
01-00472
UHC
—
01
—
01-03334
UHC
NE
01
—
30671
BCBS
—
01
—
3842
MIDLANDS CHOICE
—
05
—
470780857 32
—
NE
Enumeration date
09/02/2006
Last updated
06/06/2021
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