LARRY BROCK BUTLER (NPI# 1073138103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073138103 |
| Entity Type | Individual |
| Full Name | LARRY BROCK BUTLER |
| Practice Address |
495 S 900 E Apt 8 St George UT 84770-3860 |
| Practice Telephone | 7604589997 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316137110 | Larry Burkard Butler | Dentist | 1029 Leighton Ave, Anniston, AL 36207-5701 | 2007-07-27 |
| 1164407250 | Larry Butler | Orthotist | 7625 Us Highway 64, Suite 103, Memphis, TN 38133-4066 | 2005-12-12 |
| 1649273426 | Larry B Butler | Dentist | 6519 Stadium Dr, Zephyrhills, FL 33542-7567 | 2005-05-24 |
| 1306115613 | Larry Butler | Counselor | 567 E 105th St, Brooklyn, NY 11236-2213 | 2011-12-16 |
| 1366722928 | Larry A Butler | Pharmacist | 600 Villa St, Elgin, IL 60120-6720 | 2011-08-26 |
| 1053352500 | Larry S. Butler | Obstetrics & Gynecology | 3213 Summit Square Pl, Suite 200, Lexington, KY 40509-2636 | 2006-06-08 |
| 1740267616 | Larry James Butler | Surgery | 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909-5533 | 2005-12-30 |
| Street Address |
495 S 900 E APT 8 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84770-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871617 | Brian Anders Johnson | Student in an Organized Health Care Education/Training Program | 720 S River Rd Ste B105, St George, UT 84790-5704 | 2020-11-05 |
| 1194340158 | Ty Dallas Mangum | Student in an Organized Health Care Education/Training Program | 595 W 600 N, St George, UT 84770-2609 | 2020-06-15 |
| 1184249146 | Takara Ragland | Student in an Organized Health Care Education/Training Program | 3031 E Livia Dr, St George, UT 84790-1206 | 2020-06-15 |
| 1720603848 | Stephanie Vongsawad | Student in an Organized Health Care Education/Training Program | 2405 Eastlake Dr, St George, UT 84790-6135 | 2020-06-15 |
| 1477178432 | Thomas Ray Cook | Student in an Organized Health Care Education/Training Program | 669 S 700 E Apt 18, St George, UT 84770-2407 | 2020-06-15 |
| 1972128924 | Joseph Delong | Student in an Organized Health Care Education/Training Program | 368 S Mall Dr Unit F204, St George, UT 84790-4657 | 2020-06-15 |
| 1578188777 | Jessica Jensen | Student in an Organized Health Care Education/Training Program | 699 Escalante Dr, St George, UT 84790-7605 | 2020-06-12 |
| 1770108979 | Tara Carpenter | Student in an Organized Health Care Education/Training Program | 1630 E 2450 S Unit 63, St George, UT 84790-6993 | 2020-06-12 |
| 1316599673 | Brogan K Crane | Student in an Organized Health Care Education/Training Program | 1898 Gunlock Ct, St George, UT 84790-6705 | 2019-07-16 |
| 1457903700 | Miriam Hernandez | Student in an Organized Health Care Education/Training Program | 701 E 900 S Unit 25, St George, UT 84790-5526 | 2019-07-16 |
| Find all providers in ST GEORGE | ||||
Please comment or provide details below to improve the information on LARRY BROCK BUTLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.