Most Relevant Information
Provider Data
NPI Number: | 1003470451 |
Provider Name: | ISAAC ALBERT BUTLER CRNA |
Entity Type: | Individual |
Taxonomy Code: | 367500000X |
Specialty: | Nurse Anesthetist, Certified Registered |
License Number: | D163841 |
Most Important Dates
Enumeration Date: | 04/30/2019 |
Last Updated: | 01/10/2024 |
Provider Practice Location
712 W MAIN ST
MANCHESTER
IA
520571525
Practice Location Phone/Fax
Phone: | 5638221435 |
Fax: |
Provider Mailing Location
712 W MAIN ST
MANCHESTER
IA
520571525
Provider Mailing Phone/Fax
Phone: | 5638221435 |
Fax: |