Individual
MATTHEW JAMES BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.R.A R.T. (R) (ARRT
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8383
Mailing address
276 ISAAC THARP ST, PATASKALA, OH 43062-8962
(740) 398-0276
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
68.000025
OH
2471C3402X
Radiography Radiologic Technologist
8866671
OH
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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