Individual
MR. ERIC RYAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-5041
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02362
NC
363AS0400X
Surgical Physician Assistant
50.002527
OH
363AS0400X
Surgical Physician Assistant
MA051953
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50.002527
CERTIFICATE TO PRACTICE
OH
01
—
MA051953
LICENSE
PA
Enumeration date
03/23/2006
Last updated
01/19/2011
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