Individual
RICHARD BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
8135 VISTA FOREST DR, ROANOKE, VA 24018-5714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102-201770
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010185602
—
VA
05
—
010185637
—
VA
Enumeration date
11/04/2005
Last updated
08/11/2011
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