Gordon Butzirus, PA-C

NPI #1366451890 in Idabel, Oklahoma

Provider Information

NPI Number: 1366451890
Entity Type: Individual
Name: Gordon Butzirus, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 5, 2006
Last Updated: Sep 3, 2015

Practice Location

Address: 601 SE WASHINGTON ST
City: Idabel
State: Oklahoma
ZIP Code: 74745-3319
Phone: (580) 286-6688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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