Individual
DR. JOHNLUKAS BUTLER WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-1111
(440) 627-2170
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3398
(541) 296-1111
(440) 627-2170
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD196190
OR
207P00000X
Emergency Medicine Physician
S4249
TX
Other
Enumeration date
08/16/2013
Last updated
04/14/2020
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