Individual
GARY BUTTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 OMAHA RD, BELLEFONTAINE, OH 43311-2352
(937) 441-5486
Mailing address
1005 OMAHA RD, BELLEFONTAINE, OH 43311-2352
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4601694
—
OH
Enumeration date
12/14/2017
Last updated
06/16/2018
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