Provider Demographics
NPI:1073577185
Name:BUTTKE, JAMES F (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:BUTTKE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:77 CALLE PORTAL
Mailing Address - Street 2:SUITE B260A
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-2967
Mailing Address - Country:US
Mailing Address - Phone:520-515-9751
Mailing Address - Fax:520-515-9786
Practice Address - Street 1:77 CALLE PORTAL
Practice Address - Street 2:SUITE B260A
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2967
Practice Address - Country:US
Practice Address - Phone:520-515-9751
Practice Address - Fax:520-515-9786
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2011-11-18
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Provider Licenses
StateLicense IDTaxonomies
AZ13713207L00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD43755Medicare UPIN
AZZ62597Medicare PIN