Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 41953 | AZ |
N | 207VX0201X | Gynecologic Oncologist | 54451 | MN |
NPI | 1326169699 |
---|---|
Provider Name | Dr. Kristina A Butler |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Scottsdale, AZ 85259-5452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 03/09/2020 |