Individual
MELISSA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5975 S QUEBEC ST STE 150, CENTENNIAL, CO 80111-4554
(033) 790-8899
(303) 790-2810
Mailing address
5975 S QUEBEC ST STE 150, CENTENNIAL, CO 80111-4554
(033) 790-8899
(303) 790-2810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2125
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75470071
—
CO
Enumeration date
02/13/2007
Last updated
08/05/2024
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