Individual
DR. HAROLD BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 312-4264
Mailing address
1413 GOLDEN GATE BLVD, SUITE 250, MAYFIELD HTS, OH 44124-3420
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35040238
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000199736
INDIVIDUAL ANTHEM ID#
OH
05
—
0577577
—
OH
Enumeration date
07/07/2006
Last updated
07/09/2007
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