Individual
JAY C BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4055 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5932
(907) 563-2662
Mailing address
4055 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5932
(907) 563-2662
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4143
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD4143
—
AK
Enumeration date
09/11/2007
Last updated
09/23/2008
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