Individual
WESLEY KENYON BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3500 POTOMAC WAY STE 100, IDAHO FALLS, ID 83404-4977
(208) 522-7666
(208) 524-2821
Mailing address
3500 POTOMAC WAY STE 100, IDAHO FALLS, ID 83404-4977
(208) 522-7666
(208) 524-2821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
ID
Other
Enumeration date
09/20/2022
Last updated
10/18/2022
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