Individual
BRIAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 686-3935
Mailing address
10140 CAMPUS POINT DR, SAN DIEGO, CA 92121-1520
(619) 686-3935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A115294
CA
208M00000X
Hospitalist Physician
Primary
A115294
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2009
Last updated
05/15/2020
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