Individual
DR. BRETT C. BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
451 W LOCKE ST, ASHDOWN, AR 71822-3325
(870) 898-5011
Mailing address
2107 BEECH ST, TEXARKANA, AR 71854-3509
(870) 703-3385
(870) 330-0353
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
09578R
LA
207QA0505X
Adult Medicine Physician
Primary
E-5775
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09578R
STATE LICENSE
LA
05
—
1969702
—
LA
Enumeration date
05/22/2006
Last updated
04/21/2020
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