Organization
DALE R. BUTLER, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE R BUTLER MD (PRESIDENT)
(530) 477-5911
Entity
Organization
Contact information
Practice address
105 CATHERINE LN, GRASS VALLEY, CA 95945-5705
(530) 477-5911
(530) 477-1021
Mailing address
105 CATHERINE LN, GRASS VALLEY, CA 95945-5705
(530) 477-5911
(530) 477-1021
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C35311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C353110
—
CA
Enumeration date
04/18/2007
Last updated
08/22/2020
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