| Blair T Butterfield, Do, Pc | |
|
4135 S Power Rd Suite 129 Mesa AZ 85212-3624 | |
| (480) 751-3091 | |
| (480) 751-3095 |
| Full Name | Blair T Butterfield, Do, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4135 S Power Rd, Mesa, Arizona |
| Authorized Official Name and Position | Blair T Butterfield (OWNER) |
| Authorized Official Contact | 4807513091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blair T Butterfield, Do, Pc 1156 S Fern Ct Gilbert AZ 85296-3673 Ph: (480) 751-3091 | Blair T Butterfield, Do, Pc 4135 S Power Rd Suite 129 Mesa AZ 85212-3624 Ph: (480) 751-3091 |
| NPI Number | 1922031566 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 8527071034 |
|---|---|
| Medicare Enrollment ID | O20060731000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922031566 | NPI | - | NPPES |
| 758899 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3793 (Arizona) | Primary |
| Provider Name | Blair T Butterfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487600219 PECOS PAC ID: 0244279263 Enrollment ID: I20050428001130 |
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