Rodney J Butch in Fairfax - Body Imaging

Rodney J Butch - NPI 1043240419

Rodney J Butch is a Body Imaging in Fairfax, Virginia. Rodney J Butch practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Rodney J Butch is 1043240419. The last update date is 2008-01-16.

Rodney J Butch's current location address is 2722 Merrilee Dr, Fairfax, Virginia. You can contact this provider via phone number 7036984483 and fax number 7036982176. The mailing address for Rodney J Butch is 2722 Merrilee Dr, Fairfax, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Rodney J Butch
Address 2722 Merrilee Dr, Fairfax, Virginia
Phone Number 7036984483
Fax Number 7036982176
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1043240419
Provider Enumeration Date 2006-07-03
Last Updated Date 2008-01-16

Provider Mailing Address Detail

Address 2722 Merrilee Dr
City Fairfax
State Virginia (VA)
Post Code 220314400
Phone Number 7036984483
Fax Number 7036982176

Provider's Primary Taxonomy Detail

Speciality Body Imaging
Taxonomy 2085B0100X
Licence No 101040007
Definition:
A Radiology doctor of Osteopathy that specializes in Body Imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4218407 VA AETNA NON HMO
2036278 VA AETNA HMO
19 VA CAREFIRST
7298447 VA --

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FAQs about Rodney J Butch

What is the unique 10-digit identifier code issued to Rodney J Butch by the Centers for Medicare & Medicaid Services?

The Rodney J Butch has been assigned the NPI (National Provider Identifier) 1043240419 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Rodney J Butch?

The Rodney J Butch is physically situated at 2722 Merrilee Dr, in the city of Fairfax, state of VA, with the postal code 220314400.

What is the Rodney J Butch's specialty and taxonomy code?

The Rodney J Butch's specialty is Body Imaging, and the corresponding taxonomy code is 2085B0100X.

On what date did the Rodney J Butch receive its 1043240419 assignment from the Centers for Medicare & Medicaid Services?

The Rodney J Butch was assigned its 1043240419 by the Centers for Medicare & Medicaid Services on 2006-07-03.

As of what date were the details pertaining to Rodney J Butch last refreshed?

The information related to the Rodney J Butch, including its address, specialty, and other relevant details, was last updated on 2008-01-16.

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