Organization
R. ALLEN BUTLER, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALLEN BUTLER M.D. (PRESIDENT)
(662) 323-9908
Entity
Organization
Contact information
Practice address
101 WILBURN WAY, STARKVILLE, MS 39759-3693
(662) 323-9908
(662) 323-8948
Mailing address
101 WILBURN WAY, STARKVILLE, MS 39759
(662) 323-9908
(662) 323-8948
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19062
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02084761
—
MS
01
—
DF0984
RAILROAD MEDICARE
MS
Enumeration date
08/07/2006
Last updated
06/07/2011
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