Individual
DR. LESLIE SCOTT BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
28 CROSSROADS PLZ, SUITE 101, O FALLON, MO 63368-6664
(636) 970-0566
(636) 970-2738
Mailing address
28 CROSSROADS PLZ, O FALLON, MO 63368-6664
(636) 294-6260
(636) 294-0507
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000164684
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190761
BC/BS
MO
Enumeration date
08/17/2005
Last updated
08/30/2016
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