Individual
EVAN R BUTLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2608 KEISER BLVD, WYOMISSING, PA 19610-3333
(610) 685-5864
(610) 929-1528
Mailing address
2608 KEISER BLVD, WYOMISSING, PA 19610-3333
(610) 685-5864
(610) 929-1528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A126551
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101265286
VA
207RP1001X
Pulmonary Disease Physician
0101265286
VA
207RP1001X
Pulmonary Disease Physician
Primary
MD481297
PA
Other
Enumeration date
04/06/2012
Last updated
12/12/2023
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