Individual
TREY M BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2431 E 32ND ST STE A, JOPLIN, MO 64804-3190
(417) 781-9000
(417) 781-5704
Mailing address
2431 E 32ND ST STE A, JOPLIN, MO 64804-3128
(417) 781-9000
(417) 781-5704
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
100647
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206735706
—
MO
01
—
474892
ANTHEM BC MISSOURI
MO
01
—
700845
BLUECROSS KANSAS ID#
KS
Enumeration date
05/11/2006
Last updated
03/11/2025
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