Individual
BRYAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRS
Contact information
Practice address
14 S BROADWAY, BALTIMORE, MD 21231-1712
(443) 202-0138
Mailing address
807 N BENTALOU ST, BALTIMORE, MD 21216-4832
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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