MEDICARE: THOMAS E BUTLER JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician	22515	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101167	OTHER	AZ	UNITED HEALTH CARE
2	98227	OTHER	AZ	PACIFICARE
3	AZ0820900	OTHER	AZ	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	35614	OTHER	AZ	HEALTH NET

General Provider Information

NPI Number	:	1205838398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS E BUTLER JR. MD

Provider Business Mailing Address
First Line	:	4727 E CAMP LOWELL DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1256
Country	:	US
Telephone Number	:	520-290-4263
Fax Number	:	520-323-2716

Provider Business Practice Location Address
First Line	:	4727 E CAMP LOWELL DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1256
Country	:	US
Telephone Number	:	520-290-4263
Fax Number	:	520-323-2716

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	10/11/2007

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