Individual
MR. CORY JOHN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
310 WORCHESTER AVE BLDG 45, JBPHH, HI 96853-5530
(808) 474-4737
Mailing address
310 WORCHESTER AVE BLDG 45, JBPHH, HI 96853-5530
(808) 474-4737
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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