Provider Demographics
NPI:1386834968
Name:BUTRUILLE, FRANK RICHARD (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:RICHARD
Last Name:BUTRUILLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 PROVIDENCE DR STE 207
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4620
Mailing Address - Country:US
Mailing Address - Phone:907-561-0005
Mailing Address - Fax:907-563-9140
Practice Address - Street 1:3300 PROVIDENCE DR STE 207
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4620
Practice Address - Country:US
Practice Address - Phone:907-561-0005
Practice Address - Fax:907-563-9140
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.092683207L00000X
AK7108207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology