Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 22515 | AZ |
NPI | 1205838398 |
---|---|
Provider Name | Thomas E Butler JR. |
First Address | Tucson, AZ 85712-1256 |
Second Address | Tucson, AZ 85712-1256 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2005 |
Last Update Date | 11/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101167 | UNITED HEALTH CARE (01) | AZ |
168098 | (05) | AZ |
35614 | HEALTH NET (01) | AZ |
98227 | PACIFICARE (01) | AZ |
AZ0820900 | BCBS (01) | AZ |
F52976 | (02) | AZ |