Individual
DEMSIE M BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
132 5TH AVE W STE 1&2, JEROME, ID 83338-1871
(208) 814-9800
(208) 933-9648
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-17642
ID
207Q00000X
Family Medicine Physician
MRM-2141
ID
Other
Enumeration date
05/12/2022
Last updated
08/12/2025
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