Walter Blake Butler, M.D.
Anesthesiology in Cookeville, TN. Individual provider (NPI-1).
NPI number1326025354
StatusActive
Last updated in NPPESJul 13, 2010
Details
- NPI
- 1326025354
- Entity type
- Individual (NPI-1)
- Name
- Walter Blake Butler
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2005
- Last updated
- Jul 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 39755 | TN | Yes |
Practice location
100 W 4th StSuite 310
Cookeville, TN 38501-2448
Phone 931-528-7877 · Fax 931-526-3261
Mailing address
100 W 4th StSuite 310
Cookeville, TN 38501-2448
Phone 931-528-7877 · Fax 931-526-3261
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