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Individual

HEIDI BUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
200 MED PLZ, SUITE 530, LOS ANGELES, CA 90095-0001
(310) 825-7922
Mailing address
55737 FILE, LOS ANGELES, CA 90074-0001
(310) 301-8708

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
16574
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN679855
CA
Enumeration date
02/14/2007
Last updated
03/31/2008
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