Individual provider · Type 1 NPI

Theodore Harmon Butcher, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1679656359 Active

Practice location

3400 Spruce St, 4 Silverstein Building
Philadelphia, PA 19104-4206

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA00214L (PA)

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About NPI 1679656359

Theodore Harmon Butcher, PA-C's National Provider Identifier is 1679656359, issued on Oct 24, 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 Feb 11, 2008.