Organization
AVANDY MEDICAL BUTTRUM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY BUTTRUM MD (OWNER)
(702) 508-2153
Entity
Organization
Contact information
Practice address
660 S GREEN VALLEY PKWY STE 130, HENDERSON, NV 89052-0431
(702) 508-2453
(702) 508-2435
Mailing address
660 S GREEN VALLEY PKWY STE 130, HENDERSON, NV 89052-0431
(702) 508-2153
(702) 508-2435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15199
PRIMARY CARE
NV
Enumeration date
03/22/2022
Last updated
03/22/2022
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