Individual
DR. GEONARD FLAY BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 746-3444
Mailing address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 746-3444
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101027300
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945026
—
VA
Enumeration date
06/16/2008
Last updated
06/25/2010
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