Healthcare Provider Details

I. General information

NPI: 1124785365
Provider Name (Legal Business Name): CAROLINE C BUTLER MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2021
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 CONSTITUTION BLVD
SALINAS CA
93906-3100
US

IV. Provider business mailing address

23675 DETERMINE LN
MONTEREY CA
93940-6514
US

V. Phone/Fax

Practice location:
  • Phone: 831-755-4111
  • Fax: 626-403-0321
Mailing address:
  • Phone: 301-922-7272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CAROLINE C BUTLER
Title or Position: PRESIDENT
Credential: MD
Phone: 301-922-7272