Anthony Butch, PhD

Pathology, Clinical Laboratory Director, Non-physician in Los Angeles, CA. Individual provider (NPI-1).

NPI number1972045110

StatusActive

Last updated in NPPESNov 4, 2016

Details

NPI: 1972045110
Entity type: Individual (NPI-1)
Name: Anthony Butch
Credential: PhD
Sex: Male
Sole proprietor: Yes
Enumeration date: Nov 4, 2016
Last updated: Nov 4, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
247ZC0005X	Pathology, Clinical Laboratory Director, Non-physician	DRH 091	CA	Yes

Practice location

2122 Granville Ave
Los Angeles, CA 90095-6106

Phone 310-312-1509 · Fax 310-206-9077

Mailing address

2122 Granville Ave
Los Angeles, CA 90095-6106

Phone 310-312-1509 · Fax 310-206-9077

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