Individual
DR. CONNIE LYNN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
92 MAIN ST, CASSVILLE, MO 65625-1610
(417) 847-5225
(417) 847-5425
Mailing address
92 MAIN ST, CASSVILLE, MO 65625-1610
(417) 847-5225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005014673
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207415605
—
MO
Enumeration date
10/17/2006
Last updated
03/09/2020
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