Dr William Jason Butler, MD | |
1145 Sturgis Road, Dept Of Surgery, Twentynine Palms, CA 92278 | |
(760) 803-2003 | |
Not Available |
Full Name | Dr William Jason Butler |
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Gender | Male |
Speciality | Surgery |
Location | 1145 Sturgis Road, Twentynine Palms, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265724553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0101258761 (Virginia) | Secondary |
208600000X | Surgery | A122410 (California) | Primary |
Entity Name | Desert Trauma Surgeons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144225426 PECOS PAC ID: 0547366106 Enrollment ID: O20070428000140 |
Mailing Address | Practice Location Address |
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Dr William Jason Butler, MD 1145 Sturgis Road, Twentynine Palms, CA 92278-8275 Ph: (760) 830-2117 | Dr William Jason Butler, MD 1145 Sturgis Road, Dept Of Surgery, Twentynine Palms, CA 92278 Ph: (760) 803-2003 |
Dr. Marion Henry, MD Surgery Medicare: Medicare Enrolled Practice Location: Sturgis Ave And 1st Street, Marine Corps Air Ground Combat Center, Twentynine Palms, CA 92278 Phone: 760-830-2070 | |
Mrs. Alicia Gaidry Sykes, MD, MA Surgery Medicare: Medicare Enrolled Practice Location: Robert E Bush Naval Hospital, 1145 Sturgis Rd, Twentynine Palms, CA 92278 Phone: 760-830-2190 | |
Elise Sienicki Becker, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital Twentynine Palms, 1145 Sturgis Road, Twentynine Palms, CA 92278 Phone: 760-830-2117 | |
Dr. Stephen Leonard Noble, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Bldg. 1145 Sturgis Street, Twentynine Palms, CA 92278 Phone: 760-830-2070 |