Provider Demographics
NPI:1932337664
Name:BUTLER, WALTER MURRAY (DPM)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:MURRAY
Last Name:BUTLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8055 CLUB PKWY
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-5967
Mailing Address - Country:US
Mailing Address - Phone:901-309-7700
Mailing Address - Fax:901-507-3297
Practice Address - Street 1:6401 POPLAR AVE STE 190
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4810
Practice Address - Country:US
Practice Address - Phone:901-309-7700
Practice Address - Fax:901-507-3297
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN728213ES0103X
MS80218213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty