Dr. Mark Butler, M.D.
Internal Medicine in Pocatello, ID. Individual provider (NPI-1).
NPI number1831107341
StatusActive
Last updated in NPPESMay 3, 2017
Details
- NPI
- 1831107341
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Butler
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2006
- Last updated
- May 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | M-11155 | ID | Yes |
Practice location
444 Hospital WaySuite 801
Pocatello, ID 83201-2745
Phone 208-232-6214 · Fax 208-233-3416
Mailing address
444 Hospital WaySuite 801
Pocatello, ID 83201-2745
Phone 208-232-6214 · Fax 208-233-3416
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