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Individual

CHARLES W BUTRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6730 W 121ST ST, OVERLAND PARK, KS 66209-2002
(913) 307-0044
(913) 948-5380
Mailing address
6730 W 121ST ST, OVERLAND PARK, KS 66209-2002
(913) 307-0044
(913) 296-8750

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
042241
KS
207VG0400X
Gynecology Physician
A13916
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-22411
LICENSE
KS
Enumeration date
08/15/2005
Last updated
05/30/2018
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