Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | A138209 | CA |
NPI | 1043639321 |
---|---|
Provider Name | Christi Butler |
First Address | San Francisco, CA 94143 |
Second Address | San Francisco, CA 94143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 23/09/2021 |