Individual
JENNIFER BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9001 S 101ST EAST AVE, STE. 350, TULSA, OK 74133-5708
(918) 293-6200
Mailing address
9001 S 101ST EAST AVE, STE. 350, TULSA, OK 74133-5708
(918) 293-6200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27082
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731373396
TAX ID
OK
Enumeration date
05/28/2009
Last updated
03/07/2014
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