Individual
DR. MATTHEW W BUTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 VAN NESS AVE FL 6, SAN FRANCISCO, CA 94109-6978
(415) 600-5760
(415) 369-1208
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-4070
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
16927
NV
2084N0400X
Neurology Physician
36116152
IL
2084N0400X
Neurology Physician
Primary
863608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C162974
STATE MEDICAL LICENSE
CA
Enumeration date
07/23/2007
Last updated
03/11/2021
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