Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD439803 | PA |
Y | 207RC0200X | Critical Care Medicine | C137716 | CA |
N | 207RC0200X | Critical Care Medicine | H5896 | TX |
NPI | 1053632034 |
---|---|
Provider Name | Ian B Butler |
First Address | West Chester, PA 19380 |
Second Address | West Chester, PA 19380 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2010 |
Last Update Date | 01/12/2021 |