Organization
IVY CREEK OF BUTLER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D BRUCE (CEO)
(334) 376-2963
Entity
Organization
Contact information
Practice address
515 N MIRANDA AVE, GEORGIANA, AL 36033-4519
(334) 376-2205
(334) 376-3660
Mailing address
515 N MIRANDA AVE, GEORGIANA, AL 36033-4519
(334) 376-2205
(334) 376-3660
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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