Individual
RALPH MELVIN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
401 SUPERCENTER DR, WALMART VISION CENTER, JEFFERSON CITY, MO 65101-8190
(573) 635-3899
(573) 635-7255
Mailing address
1903 BRADY DR, JEFFERSON CITY, MO 65101-5595
(573) 632-6946
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
T02286
MO
Other
Enumeration date
02/22/2007
Last updated
08/19/2011
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