Individual
DR. NICHOLAS RYAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 E 2ND AVE STE 201B, CORALVILLE, IA 52241-2225
(319) 467-2000
(319) 467-2814
Mailing address
200 HAWKINS DR, DEPARTMENT OF FAMILY MEDICINE, IOWA CITY, IA 52242-1009
(319) 467-2000
(319) 467-2814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125-056824
IL
207Q00000X
Family Medicine Physician
Primary
MD-40314
IA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD-40314
IA
Other
Enumeration date
06/22/2009
Last updated
08/29/2022
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