Individual
DR. GEROLD BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5230 E STOP 11 RD, SUITE 250, INDIANAPOLIS, IN 46237-6398
(317) 528-8921
(317) 528-6916
Mailing address
5230 E STOP 11 RD, SUITE 250, INDIANAPOLIS, IN 46237-6398
(317) 528-8921
(317) 528-6916
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0125319A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100059940A
—
IN
Enumeration date
03/31/2006
Last updated
08/25/2016
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