Individual
ANTHONY BUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2122 GRANVILLE AVE, LOS ANGELES, CA 90095-6106
(310) 312-1509
(310) 206-9077
Mailing address
2122 GRANVILLE AVE, LOS ANGELES, CA 90095-6106
(310) 312-1509
(310) 206-9077
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
DRH 091
CA
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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