Individual
RICHARD A BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5500 S US HIGHWAY 41, SUITE 110, TERRE HAUTE, IN 47802-4745
(812) 299-1723
(812) 299-4862
Mailing address
5500 S US HIGHWAY 41, SUITE 110, TERRE HAUTE, IN 47802-4745
(812) 299-1723
(812) 299-4862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032875A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000306758
ANTHEM BCBS
IN
05
—
100251240A
—
IN
Enumeration date
11/22/2006
Last updated
08/15/2011
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