Organization Name: | BUTTON FAMILY PRACTICE PC |
NPI Number: | 1144269739 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARCUS A BUTTON (OWNER OPERATOR PRESIDENT) |
Mailing Address: | 715 South 9th Street Canon City |
State: | CO US |
Postal Code: | 812124911 |
Phone Number: | 7192698820 |
Fax Number: | 7192040230 |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 01/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |