Individual
CHRISTIAN WOLFRAM BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2500 FARMINGTON AVE, FARMINGTON, NM 87401-4504
(505) 609-6830
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2023-0262
NM
Other
Enumeration date
09/25/2023
Last updated
01/14/2025
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