Individual
MARK J BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4501 S 70TH ST, STE 140, LINCOLN, NE 68516-4282
(402) 484-5100
(402) 484-5151
Mailing address
4501 S 70TH ST, STE 140, LINCOLN, NE 68516-4201
(402) 484-5100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19177
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00210
BCBS
NE
01
—
01-00472
UHC
—
01
—
01-03334
UHC
NE
01
—
30671
BCBS
—
01
—
3842
MIDLANDS CHOICE
—
05
—
470780857 32
—
NE
Enumeration date
09/02/2006
Last updated
06/06/2021
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