Provider Demographics
NPI:1568531960
Name:BUTLER, JULIUS CARROLL (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:CARROLL
Last Name:BUTLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:JULIUS
Other - Middle Name:CARROLL
Other - Last Name:BUTLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, FACOG
Mailing Address - Street 1:4359 WINDING HILL WAY
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-6254
Mailing Address - Country:US
Mailing Address - Phone:914-329-6346
Mailing Address - Fax:916-720-0498
Practice Address - Street 1:4359 WINDING HILL WAY
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-6254
Practice Address - Country:US
Practice Address - Phone:914-329-6346
Practice Address - Fax:916-720-0498
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG59219207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG59219OtherPHYSICIAN & SURGEON