Individual
ASMA M BUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8610 W OVERLAND RD, BOISE, ID 83709-1645
(208) 954-8711
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M-15990
ID
208000000X
Pediatrics Physician
R6531
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447690805
—
ID
Enumeration date
07/01/2013
Last updated
12/15/2023
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