Individual
DR. FRED O BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8301 HARCOURT RD, SUITE 205, INDIANAPOLIS, IN 46260-2081
(317) 228-3393
Mailing address
8301 HARCOURT RD, SUITE 205, INDIANAPOLIS, IN 46260-2081
(317) 228-3393
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01027009A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100151530
—
IN
Enumeration date
03/14/2006
Last updated
03/19/2021
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