Most Relevant Information
Provider Data
NPI Number: | 1003487968 |
Provider Name: | MADISON E BUTTS |
Entity Type: | Individual |
Taxonomy Code: | 3747P1801X |
Specialty: | Technician |
License Number: |
Most Important Dates
Enumeration Date: | 07/01/2021 |
Last Updated: | 07/01/2021 |
Provider Practice Location
7465 W LAKE MEAD BLVD STE 100
LAS VEGAS
NV
891281033
Practice Location Phone/Fax
Phone: | 7025621245 |
Fax: |
Provider Mailing Location
7465 W LAKE MEAD BLVD STE 100
LAS VEGAS
NV
891281033
Provider Mailing Phone/Fax
Phone: | 7025621245 |
Fax: |