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1033671342

NPI Code Detail

MEDICARE: JAMES BUTLER MD

MEDICARE: JAMES BUTLER 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	207P00000X	Emergency Medicine Physician	2022012026	MO
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207P00000X	Emergency Medicine Physician	75232	AZ
4	207P00000X	Emergency Medicine Physician	MD2026-0162	NM

General Provider Information

NPI Number	:	1033671342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES BUTLER MD

Provider Business Mailing Address
First Line	:	300 1ST CAPITOL DR
Second Line	:
City	:	SAINT CHARLES
State	:	MO
Zip	:	63301-2844
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1171 W TARGET RANGE RD
Second Line	:
City	:	NOGALES
State	:	AZ
Zip	:	85621-2415
Country	:	US
Telephone Number	:	520-285-8020
Fax Number	:

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

Provider Enumeration Date	:	04/04/2019
Last Update Date	:	06/25/2026

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Directions to “ JAMES BUTLER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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