Individual
JAMES JACKSON BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, GRADUATE MEDICAL EDUCATION OFFICE CSP21005, LOMA LINDA, CA 92354-2804
(909) 558-4475
(909) 558-4143
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804
(909) 558-4475
(909) 558-4143
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G 88943
CA
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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