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Individual

ROBERT P BUTCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13347 WARWICK BLVD, NEWPORT NEWS, VA 23602-5601
(757) 877-0214
(757) 875-0524
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101055400
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080185988
RAILROAD MEDICARE
VA
05
5634181
VA
Enumeration date
10/26/2005
Last updated
03/24/2021
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