Individual
BRIAN K BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11835 FISHING POINT DR, STE 207, NEWPORT NEWS, VA 23606
(757) 873-3334
(757) 873-1128
Mailing address
895 CITY CENTER BLVD 200, NEWPORT NEWS, VA 23606-3080
(757) 599-4090
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
0101225820
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006712240
—
VA
Enumeration date
07/13/2006
Last updated
12/29/2015
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