Individual
MICHAEL ANTHONY BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7402 E PALO VERDE ST, PRESCOTT VALLEY, AZ 86314-3213
(928) 445-6500
(928) 636-0377
Mailing address
7402 E PALO VERDE ST, PRESCOTT VALLEY, AZ 86314-3213
(928) 445-6500
(928) 636-0377
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
06-00005700
AZ
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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