Provider Demographics
NPI:1841278850
Name:BUTLER, MELVIN J (MD)
Entity type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:J
Last Name:BUTLER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:950 FRANCIS PL
Mailing Address - Street 2:STE 317
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-2465
Mailing Address - Country:US
Mailing Address - Phone:314-721-6936
Mailing Address - Fax:314-721-6915
Practice Address - Street 1:950 FRANCIS PL
Practice Address - Street 2:STE 317
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-2465
Practice Address - Country:US
Practice Address - Phone:314-721-6936
Practice Address - Fax:314-721-6915
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MO108197207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
107860OtherBCBS MO
97986OtherGHP
1770OtherHEALTHCARE USA
0402566OtherUHC
335147OtherHEALTHLINK
G13037OtherMERCY
G13037OtherMERCY