Healthcare Provider Details

I. General information

NPI: 1164648275
Provider Name (Legal Business Name): BYRON EDWARD BUTCHART ND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 W BEVERLEY ST SUITE 201
STAUNTON VA
24401-4287
US

IV. Provider business mailing address

108 CHURCH ST
STAUNTON VA
24401-4231
US

V. Phone/Fax

Practice location:
  • Phone: 540-213-1350
  • Fax: 540-213-1350
Mailing address:
  • Phone: 540-213-1350
  • Fax: 540-213-1350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1470
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: