Individual
MR. RICHARD JASON BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
190 QUINCY AVE, BROCKTON, MA 02302-2803
(508) 587-7300
(866) 837-9923
Mailing address
790 W CHESTNUT ST, BROCKTON, MA 02301-5513
(508) 587-7300
(508) 587-7330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
07/12/2007
Last updated
10/15/2024
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