Individual
DR. DAVID BUTTROSS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 DR MICHAEL DEBAKEY DR, SUITE 220, LAKE CHARLES, LA 70601-5887
(337) 478-9331
(337) 478-9828
Mailing address
333 DR MICHAEL DEBAKEY DR, SUITE 220, LAKE CHARLES, LA 70601-5887
(337) 478-9331
(337) 478-9828
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
021316
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1680991
—
LA
Enumeration date
08/09/2005
Last updated
07/17/2013
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