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Contact Information

DAVID J BUTLER SR, LISAC
4341 S HIGHWAY 92
SUITE F
SIERRA VISTA, AZ85650-9399
 Phone: 520-803-7500
 Fax: 520-803-7512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DAVID J BUTLER SR · (Male)

NPI # 1558459636
Status Active
Credentials LISAC
Entity Individual
Enumeration date 10/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # LISAC-10380
  • AZ Other 911512 AHCCCS
  • AZ Other AZ0420540 BCBS
  • AZ Other 911512 CHS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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