Vidalia Butler-poku (NPI# 1285639286, PAC ID# 2062462955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1285639286 |
| PAC ID by PECOS | 2062462955 |
| Professional Enrollment ID | I20050609000278 |
| Full Name | Vidalia Butler-poku |
| Address |
36375 N Gantzel Rd Suite 103 San Tan Valley AZ 85140-7334 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 36375 N Gantzel Rd, Suite 103, San Tan Valley, AZ 85140-7334 |
| Street Address |
36375 N GANTZEL RD SUITE 103 |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip | 85140-7334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali Azadi | Obstetrics/gynecology | 36375 N Gantzel Rd, Suite 103, San Tan Valley, AZ 85140-7334 | |
| George Figueroa | Obstetrics/gynecology | 36375 N Gantzel Rd, Suite 103, San Tan Valley, AZ 85140-7334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin D Earlywine | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Shuntelle Hawk | Nurse Practitioner | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Sheila F Cota | Nurse Practitioner | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Kelly A Mcmillan | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| David T Scholzen | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Jay R Gunnell | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Steven A Silodor | Family Medicine | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Sheryl Bacon | Nurse Practitioner | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Emylie Gott | Nurse Practitioner | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Richard N Peterson | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
| Find all physicians in zip 85140 | |||
| City | SAN TAN VALLEY |
| Zip Code | 85140 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SAN TAN VALLEY + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Vidalia Butler-poku.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.