Individual
DR. ANNELORE FONTANE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 LYNNHAVEN PKWY, SIUTE 201, VIRGINIA BEACH, VA 23456-1492
(757) 953-6708
Mailing address
533 ELIZABETH PL, PORTSMOUTH, VA 23704-2408
(757) 397-7283
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101057817
VA
Other
Enumeration date
06/30/2005
Last updated
06/16/2010
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