Organization
DARTMOUTH MEDICAL WALK IN PC III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN RUSSELL BUTLER DO (PRESIDENT)
(508) 996-3311
Entity
Organization
Contact information
Practice address
39 A FAUNCE CORNER ROAD, SUITE 2, NORTH DARTMOUTH, MA 02747
(508) 996-3311
(508) 997-5352
Mailing address
39 A FAUNCE CORNER ROAD, SUITE 2, NORTH DARTMOUTH, MA 02747
(508) 996-3311
(508) 997-5352
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
154055
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9703705
—
MA
Enumeration date
03/10/2006
Last updated
08/22/2020
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