Individual
DIANE ARLENE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6681 RIDGE RD, #205, PARMA, OH 44129-5713
(440) 842-1121
(440) 842-5676
Mailing address
6681 RIDGE RD, #205, PARMA, OH 44129-5713
(440) 842-1121
(440) 842-5676
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35043685
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139981
ANTHEM
OH
05
—
0692880
—
OH
01
—
341834105031
CARE SOURCE
OH
Enumeration date
05/03/2006
Last updated
04/18/2013
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