Individual
MICHAEL LAWRENCE BUTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6699 ALVARADO RD STE 2309, SAN DIEGO, CA 92120-5241
(619) 286-8803
(619) 286-2344
Mailing address
PO BOX 1009, SPRING VALLEY, CA 91979-1009
(619) 508-0908
(619) 693-3242
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G70238
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G702380
—
CA
01
—
WG70238C
MEDICARE PTAN
—
Enumeration date
09/22/2006
Last updated
04/17/2023
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