Individual
DR. DAN E BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1612 N PINE ST, DERIDDER, LA 70634-2420
(337) 463-6069
Mailing address
PO BOX 130, 1612 PINE, DERIDDER, LA 70634-0130
(337) 463-6069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14289-R
LA
207X00000X
Orthopaedic Surgery Physician
29126
LA
Other
Enumeration date
11/24/2006
Last updated
12/17/2014
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