Individual provider · Type 1 NPI

Michael Taylor Butler, PAC

Medical Physician Assistant · Philadelphia, PA

NPI number 1487727749 Active

Practice location

3998 Red Lion Rd
Philadelphia, PA 19114-1436

Fax (215) 807-8235

Mailing address

PO Box 8500-6335
Philadelphia, PA 19178-0001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA001418L (PA)
Physician Assistant 363A00000XMA001418L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1487727749

Michael Taylor Butler, PAC's National Provider Identifier is 1487727749, issued on Nov 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 6, 2008.