Individual
THEODORE HARMON BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, 4 SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104-4206
(215) 662-2050
Mailing address
3400 SPRUCE ST, 4 SILVERSTEIN BUILDING, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA00214L
PA
Other
Enumeration date
10/24/2006
Last updated
02/11/2008
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