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Organization
FREDRICK BUTLER II, MD, INC
Active
Organization
FREDRICK BUTLER II, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK BUTLER II MD (PHYSICIAN)
(818) 957-9595
Entity
Organization
Contact information
Practice address
10657 W PICO BLVD, LOS ANGELES, CA 90064-2222
(310) 295-0079
Mailing address
15332 ANTIOCH ST, SUITE 820, PACIFIC PALISADES, CA 90272-3628
(310) 295-0079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A73853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427088830
NPI
CA
Enumeration date
07/25/2008
Last updated
04/01/2010
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