Individual
TEODOR D BUTIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1016 TACOMA AVE, SUNNYSIDE, WA 98944-2263
(509) 837-1500
Mailing address
PO BOX 719, SUNNYSIDE, WA 98944-0719
(509) 837-1617
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60119852
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0259624
L&I
WA
05
—
1366544116
—
WA
01
—
315531
L&I POST 7/21/13
WA
Enumeration date
09/02/2006
Last updated
03/06/2025
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