Individual
DR. THOMAS M BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 S UTICA AVE, BOX 217, TULSA, OK 74104-4909
(918) 744-3664
(918) 748-7688
Mailing address
1611 S UTICA AVE, BOX 217, TULSA, OK 74104-4909
(918) 744-3664
(918) 748-7688
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14278
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095620A
—
OK
01
—
4103530
AETNA
OK
01
—
721545605-001
BCBS
OK
Enumeration date
09/13/2005
Last updated
02/08/2014
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