Individual
DR. DENNIS L BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E BROADWAY AVE, SUITE 201, JACKSON, WY 83001-8640
(307) 733-7222
(307) 733-9720
Mailing address
555 E BROADWAY AVE, SUITE 201, JACKSON, WY 83001-8640
(307) 733-7222
(307) 733-9720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2906A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106601300
—
WY
05
—
116969600
—
WY
Enumeration date
08/18/2006
Last updated
05/21/2014
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