Organization
BRENT A. BUTCHER, MD, INC.
Active
Organization
BRENT A. BUTCHER, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT A. BUTCHER MD (OWNER/PRESIDENT)
(619) 990-9317
Entity
Organization
Contact information
Practice address
207 W LEGION RD, BRAWLEY, CA 92227-7780
(760) 351-4848
(760) 351-4849
Mailing address
3639 MIDWAY DR, SUITE B, #412, SAN DIEGO, CA 92110-5254
(619) 258-6200
(619) 258-0028
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
A67738
CA
Other
Enumeration date
08/27/2008
Last updated
10/21/2008
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