Individual
RODNEY J BUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2722 MERRILEE DR, STE. 230, FAIRFAX, VA 22031-4400
(703) 698-4483
(703) 698-2176
Mailing address
2722 MERRILEE DR, STE. 230, FAIRFAX, VA 22031-4400
(703) 698-4483
(703) 698-2176
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
0101040007
VA
2085N0904X
Nuclear Radiology Physician
0101040007
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0101040007
VA
2085R0204X
Vascular & Interventional Radiology Physician
0101040007
VA
2085U0001X
Diagnostic Ultrasound Physician
0101040007
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019
CAREFIRST
VA
01
—
2036278
AETNA HMO
VA
01
—
4218407
AETNA NON HMO
VA
05
—
7298447
—
VA
Enumeration date
07/03/2006
Last updated
01/16/2008
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