Individual
VIDALIA M BUTLER-POKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
270 E HUNT HWY, 10, SAN TAN VALLEY, AZ 85143-4962
(480) 987-5500
(480) 987-5507
Mailing address
270 E HUNT HWY, 10, SAN TAN VALLEY, AZ 85143-4962
(480) 987-5500
(480) 987-5507
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33705
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
941494
—
AZ
Enumeration date
06/16/2005
Last updated
11/03/2016
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