Individual
STEPHEN RUSSELL BUTLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
39 FAUNCE CORNER RD, DARTMOUTH, MA 02747-4202
(508) 996-3311
(508) 997-5352
Mailing address
168 COTTONTAIL DR, PORTSMOUTH, RI 02871-5155
(401) 619-1358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
154055
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3170896
—
MA
05
—
9703705
—
MA
Enumeration date
12/27/2005
Last updated
07/08/2007
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