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Individual

DR. MARIUM BUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-7728
Mailing address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-7728
(417) 269-7729

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023030155
MO
207R00000X
Internal Medicine Physician
S4739
TX

Other

Enumeration date
11/10/2012
Last updated
12/06/2023
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