Individual
ROBERT BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 LINCOLN ST, TWIN FALLS, ID 83301-5252
(435) 419-0210
Mailing address
601 POLE LINE RD, TWIN FALLS, ID 83301-4085
(435) 419-0210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
63366
ID
Other
Enumeration date
12/28/2019
Last updated
01/22/2020
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