Individual
MIKAL I BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 E GAIL CT, GILBERT, AZ 85296-4096
(516) 543-7848
Mailing address
230 E GAIL CT, GILBERT, AZ 85296-4096
(516) 543-7848
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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