Individual provider · Type 1 NPI

Larry Brock Butler, PA

Physician Assistant · Vista, CA

NPI number 1073138103 Active

Practice location

130 Cedar Rd
Vista, CA 92083-5102

Call (760) 806-5500 Map

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XPA60323 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073138103

Larry Brock Butler, PA's National Provider Identifier is 1073138103, issued on Jun 15, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Vista, CA. The record was last updated on Jun 2, 2022.