Healthcare Provider Details

I. General information

NPI: 1962231381
Provider Name (Legal Business Name): BRITAIN BUTLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

967 CLARA CT
AMMON ID
83406-5202
US

IV. Provider business mailing address

967 CLARA CT
AMMON ID
83406-5202
US

V. Phone/Fax

Practice location:
  • Phone: 208-970-5093
  • Fax:
Mailing address:
  • Phone: 208-970-5093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: