Individual
SUSAN TOSH BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 INDUSTRIAL RD FL 3, SAN CARLOS, CA 94070-2603
(650) 596-4160
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A111303
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A111303
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
A111303
CA
207NS0135X
Procedural Dermatology Physician
A111303
CA
Other
Enumeration date
05/30/2007
Last updated
10/09/2020
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