Jack Butler

NPI #1629594957 in Wise, Virginia

Provider Information

NPI Number
1629594957
Entity Type
Individual
Name
Jack Butler
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Driver
Enumeration Date
Aug 18, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
5401 POLE BRIDGE RD
City
Wise
ZIP Code
24293-4333
Phone
(276) 328-1712

Specialties & Taxonomy Codes

Specialty
Driver

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