LEON H BUTLER

CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

Dr LEON H BUTLER is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2010.

Contact

CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

660 S 200 E
250 SACRED CIRCLE HEALTHCARE
SALT LAKE CITY
UT
841113846

Tel: 8013952256

LEON H BUTLER Information

Npi 1245549773
Pac Id 3173701836
Professional Enrollment Id I20170512000965
Last Name BUTLER
First Name LEON
Middle Name H
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
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Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
Group Practice Pac Id 0042451650
Number Of Group Practice Members 10
Line 1 Street Address 660 S 200 E
Line 2 Street Address 250 SACRED CIRCLE HEALTHCARE
Marker Of Address Line 2 Suppression
City SALT LAKE CITY
State UT
Zip Code 841113846
Phone Number 8013952256
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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