Individual
ADAM M BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 584-4000
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 584-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TL.0009370
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL.0009370
CO
Other
Enumeration date
04/25/2022
Last updated
08/05/2022
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