Individual
DR. SAMUEL M BUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 634-1331
(928) 634-3130
Mailing address
1200 NORTH BEAVER STREET, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
15736
AZ
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
15736
AZ
207RI0011X
Interventional Cardiology Physician
Primary
15736
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251695
—
AZ
Enumeration date
08/12/2006
Last updated
08/20/2019
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