Individual
ROGER BUTLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
121 BISHOP ST, CORBIN, KY 40701-1702
(606) 528-2124
(606) 528-8272
Mailing address
121 BISHOP ST, CORBIN, KY 40701-1702
(606) 528-2124
(606) 528-8272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1893
—
Other
Enumeration date
07/29/2014
Last updated
07/20/2015
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