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Individual

SAMANTHA LYN BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 816-5613
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 816-5613

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
ME 109693
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME 109693
FL

Other

Enumeration date
10/24/2006
Last updated
07/28/2023
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