Individual
CLARK HARRISON BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5000
Mailing address
1501 UNION AVE, MOBERLY, MO 65270-9469
(660) 263-4770
(660) 263-2228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018024674
MO
Other
Enumeration date
07/14/2018
Last updated
08/02/2021
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