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Cordaris Butler
NPI 1699117796 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2800 West Gore Blvd
Lawton, OK 73505 - Phone
- (318) 461-7954
- Organisation at this address
- Cameron University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 251S00000X
251S00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma