Individual
THOMAS BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 QUARRY RD, PALO ALTO, CA 94304-1419
(650) 688-3608
Mailing address
401 QUARRY RD, PALO ALTO, CA 94304-1419
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
130025
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2011
Last updated
02/22/2016
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