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Individual

DR. WALTER ROBERTSON BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3430 NEWBURG RD, SUITE 212, LOUISVILLE, KY 40218-2497
(502) 454-8800
(502) 736-0140
Mailing address
3430 NEWBURG RD, SUITE 212, LOUISVILLE, KY 40218-2497
(502) 454-8800
(502) 736-0140

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28012
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100102210
KY
Enumeration date
08/30/2006
Last updated
01/19/2015
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