Individual
LINDA J BUTROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1804 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110
(505) 636-0728
(505) 212-4132
Mailing address
1516 GRAY ROCK PL NE, ALBUQUERQUE, NM 87112-6639
(505) 636-0728
(505) 212-4132
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD2004-0511
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02071843
—
NM
Enumeration date
08/01/2006
Last updated
05/21/2018
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