Mr Thomas Richard Butler, PAC | |
Womack Army Medical Center, Ft Bragg, NC 28307-2639 | |
(910) 907-8962 | |
(910) 907-8087 |
Full Name | Mr Thomas Richard Butler |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | Womack Army Medical Center, Ft Bragg, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861481145 | NPI | - | NPPES |
R40054 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 101534 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Richard Butler, PAC Po Box 72639, Fort Bragg, NC 28307-2639 Ph: (910) 907-8962 | Mr Thomas Richard Butler, PAC Womack Army Medical Center, Ft Bragg, NC 28307-2639 Ph: (910) 907-8962 |
Terry Dean Blackwell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Bldg 5-4257, Bastogne Street Extension, Ft Bragg, NC 28310 Phone: 910-907-9723 Fax: 910-907-8011 | |
Mr. Michael Anthony Dilorenzo, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: M 4861 Logistics Ave, Joel Clinic, Ft Bragg, NC 28310 Phone: 910-907-9195 Fax: 910-907-9828 |