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Organization
THOMAS R BUTLER DC PC
Active
Organization
THOMAS R BUTLER DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R BUTLER DC CCSP (CHAIRMAN)
(814) 355-0032
Entity
Organization
Contact information
Practice address
751 EAST BISHOP STREET, BELLEFONTE, PA 16823
(814) 355-0032
(814) 353-1099
Mailing address
751 EAST BISHOP STREET, BELLEFONTE, PA 16823
(814) 355-0032
(814) 353-1099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001415L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02562800
BLUE CROSS
PA
Enumeration date
10/11/2006
Last updated
04/19/2012
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