Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2009015651 | MO |
N | 111NI0900X | Internist | 2009015651 | MO |
N | 207R00000X | Internist | 40352 | IA |
N | 111NI0900X | Internist | 40352 | IA |
Y | 207RP1001X | Pulmonary Disease | 40352 | IA |
NPI | 1043449689 |
---|---|
Provider Name | Rachel Rose Butler |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2009 |
Last Update Date | 31/10/2016 |