Individual
MR. KIRK ALAN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
525 N SWITZER CANYON DR, FLAGSTAFF, AZ 86011-1483
(928) 773-2280
(928) 773-2281
Mailing address
525 N SWITZER CANYON DR, FLAGSTAFF, AZ 86011-1483
(928) 773-2280
(928) 773-2281
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4832
AZ
363AM0700X
Medical Physician Assistant
Primary
4832
AZ
363AM0700X
Medical Physician Assistant
PA60051173
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610448
—
AZ
Enumeration date
03/19/2007
Last updated
02/17/2022
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