Individual
DR. STEPHEN D BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 AVENT DR, GRENADA, MS 38901-5230
(662) 227-7172
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 442-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10922
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014997
—
MS
Enumeration date
06/28/2006
Last updated
03/11/2015
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