Individual
MARY ROSE BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 MEDICAL CENTER DR STE G500, HUNTINGTON, WV 25701-3659
(304) 691-1262
(304) 691-1666
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2382
WV
363AS0400X
Surgical Physician Assistant
2382
WV
Other
Enumeration date
02/11/2020
Last updated
04/23/2025
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