Individual
ROY T BUTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2230 LYNN RD STE 102, THOUSAND OAKS, CA 91360-1920
(805) 495-0458
(805) 494-9630
Mailing address
2230 LYNN RD STE 102, THOUSAND OAKS, CA 91360-1920
(805) 495-0458
(805) 494-9630
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G35235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G35235
LISCENCE
CA
Enumeration date
03/22/2007
Last updated
12/08/2020
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