Most Relevant Information
Provider Data
| NPI Number: | 1003058991 |
| Provider Name: | BRIAN BUTLER M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2009 |
| Last Updated: | 05/15/2020 |
Provider Practice Location
4077 FIFTH AVE
SAN DIEGO
CA
921032105
Practice Location Phone/Fax
| Phone: | 6196863935 |
| Fax: |
Provider Mailing Location
10140 CAMPUS POINT DR
SAN DIEGO
CA
921211520
Provider Mailing Phone/Fax
| Phone: | 6196863935 |
| Fax: |