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Individual

DONALD BUTCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2113 GOVERNMENT ST, OCEAN SPRINGS, MS 39564-3945
(228) 818-0563
(228) 818-0519
Mailing address
22 DOCTORS DR, SUITE C, OCEAN SPRINGS, MS 39564
(228) 818-0563
(228) 818-0519

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16049
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00119880
MS
Enumeration date
02/28/2007
Last updated
07/08/2007
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