Individual
AASIA BUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
280 PATTONSVILLE RD, JACKSON, OH 45640-9452
(855) 446-5937
(740) 395-8506
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
(740) 395-8506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.128651
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208099
—
OH
05
—
1053721803
—
WV
Enumeration date
05/02/2014
Last updated
11/25/2020
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