# MARK J BUTLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396847984
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 19177 | NE | Yes |

## Other

- **Enumeration date:** 09/02/2006
- **Last updated:** 06/06/2021

## 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 |