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NPI Code Detail

MEDICARE: BUTTON FAMILY PRACTICE PC

MEDICARE: BUTTON FAMILY PRACTICE PC
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
1261QR1300XRural Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144269739
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUTTON FAMILY PRACTICE PC
Provider Business Mailing Address
First Line : 715 SOUTH 9TH STREET
Second Line :
City : CANON CITY
State : CO
Zip : 81212-4911
Country : US
Telephone Number : 719-269-8820
Fax Number : 719-204-0230
Provider Business Practice Location Address
First Line : 715 SOUTH 9TH STREET
Second Line :
City : CANON CITY
State : CO
Zip : 81212-4911
Country : US
Telephone Number : 719-269-8820
Fax Number : 719-204-0230
Authorized Official
Title or Position : OWNER OPERATOR PRESIDENT
Name : DR. MARCUS A BUTTON
Credential : MD
Telephone Number : 719-269-8820
Provider Enumeration Date : 06/06/2006
Last Update Date : 02/14/2024

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1083935001 — MRS. SUSAN KATHERINE FRADY FNP
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1114203502 — PATRICIA L BERNDT NP
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1043558109 — SARAH TROEMEL FNP
Practice Location Address:
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Directions to “BUTTON FAMILY PRACTICE PC ” Practice Location

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