Individual
MICHAEL TAYLOR BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(215) 612-4000
(215) 807-8235
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA001418L
PA
363AM0700X
Medical Physician Assistant
Primary
MA001418L
PA
Other
Enumeration date
11/16/2006
Last updated
06/06/2008
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