Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GORDON BUTZIRUS, PA-C
ActiveGORDON BUTZIRUS, PA-C is a Physician Assistant healthcare provider located in IDABEL, Oklahoma. NPI 1366451890 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · IDABEL, OK
Registration Details
- NPI Number
- 1366451890
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2006 (20.038870878822 yrs)
- Last Updated
- Sep 3, 2015
- License
-
PA45 (OK)
Practice Information
- Address
-
601 SE WASHINGTON STIDABEL, OK, 747453319Browse OK providers · Browse ZIP 74745
- Phone
- 5802866688
- Fax
- 5802866699
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in IDABEL, OK
| Name | Credential | NPI |
|---|---|---|
| TAMMY MICHELLE WILLIAMS | P.A.-C | 1528031655 |
| JENTRY MCBROOM | PA | 1801778337 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.