Individual
CHRISTOPHER THOMAS BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
802 S 10TH ST, SUITE C, LEESVILLE, LA 71446-4612
(337) 239-2077
(337) 239-2583
Mailing address
802 S 10TH ST, SUITE C, LEESVILLE, LA 71446-4612
(337) 239-2077
(337) 239-2583
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10459
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1627691
—
LA
Enumeration date
04/26/2006
Last updated
01/10/2011
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