NPI 1912688904

Richard Ross Butcher

Practitioner Prevention Professional Phoenix, AZ

Practice location

Address: 1626 W Denton Ln, Phoenix, AZ 85015-3070
Phone: (602) 253-0759

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence SLH10009 (AZ)

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Registry record

NPI: 1912688904
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2023
Record last updated: 31 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.